| Dr Mitchell Brookstone Dds Pc | |
|
1228 Wantagh Avenue Suite 101 Wantagh NY 11793 | |
| (516) 826-1666 | |
| (516) 783-7716 |
| Full Name | Dr Mitchell Brookstone Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 1228 Wantagh Avenue, Wantagh, New York |
| Authorized Official Name and Position | Mitchell S Brookstone (PRESIDENT OWNER) |
| Authorized Official Contact | 5168261666 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mitchell Brookstone Dds Pc 1228 Wantagh Avenue Suite 101 Wantagh NY 11793 Ph: (516) 826-1666 | Dr Mitchell Brookstone Dds Pc 1228 Wantagh Avenue Suite 101 Wantagh NY 11793 Ph: (516) 826-1666 |
| NPI Number | 1548434095 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Medicare PECOS PAC ID | 9537336839 |
|---|---|
| Medicare Enrollment ID | O20120126000369 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548434095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 042202 (New York) | Primary |
| Provider Name | Mitchell Brookstone |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992784748 PECOS PAC ID: 0244407542 Enrollment ID: I20120126000414 |
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