| Drake Family Dental Care | |
|
119 Drake Ave New Rochelle NY 10805 | |
| (914) 235-3670 | |
| (914) 235-3672 |
| Full Name | Drake Family Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 119 Drake Ave, New Rochelle, New York |
| Authorized Official Name and Position | Sean D Jessamy (PRESIDENT) |
| Authorized Official Contact | 9142353670 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drake Family Dental Care 119 Drake Ave New Rochelle NY 10805-1701 Ph: (914) 235-3670 | Drake Family Dental Care 119 Drake Ave New Rochelle NY 10805 Ph: (914) 235-3670 |
| NPI Number | 1538372735 |
|---|---|
| Provider Enumeration Date | 05/07/2007 |
| Last Update Date | 08/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538372735 | NPI | - | NPPES |
| 01588045 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 046031 (New York) | Primary |
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