| Elevation Dental Studio, Dmd, P.c. | |
|
545 Gramatan Ave Unit B Mount Vernon NY 10552-2103 | |
| (914) 259-8559 | |
| Not Available |
| Full Name | Elevation Dental Studio, Dmd, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 545 Gramatan Ave Unit B, Mount Vernon, New York |
| Authorized Official Name and Position | Mitz-ann Edmond (DENTIST / OWNER) |
| Authorized Official Contact | 9142598559 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevation Dental Studio, Dmd, P.c. 545 Gramatan Ave Unit B Mount Vernon NY 10552-2103 Ph: () - | Elevation Dental Studio, Dmd, P.c. 545 Gramatan Ave Unit B Mount Vernon NY 10552-2103 Ph: (914) 259-8559 |
| NPI Number | 1467003160 |
|---|---|
| Provider Enumeration Date | 09/24/2019 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467003160 | NPI | - | NPPES |
| 03232928 | Medicaid | NY | |
| 1740516525 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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