| Michael Korngold Dds Pllc | |
|
1801 Avenue M Brooklyn NY 11230-5348 | |
| (718) 252-8989 | |
| (718) 377-3062 |
| Full Name | Michael Korngold Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1801 Avenue M, Brooklyn, New York |
| Authorized Official Name and Position | Michael David Korngold (OWNER) |
| Authorized Official Contact | 7182528989 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Korngold Dds Pllc 1801 Avenue M Brooklyn NY 11230-5348 Ph: (718) 252-8989 | Michael Korngold Dds Pllc 1801 Avenue M Brooklyn NY 11230-5348 Ph: (718) 252-8989 |
| NPI Number | 1336470061 |
|---|---|
| Provider Enumeration Date | 01/20/2010 |
| Last Update Date | 01/20/2010 |
| Medicare PECOS PAC ID | 6305155813 |
|---|---|
| Medicare Enrollment ID | O20151023001824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336470061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Michael D Korngold |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700929312 PECOS PAC ID: 8325352479 Enrollment ID: I20151023002024 |
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