| Empire Dental Health Pc | |
|
1963 Grand Concourse Ste Ll Bronx NY 10453-4994 | |
| (718) 294-8800 | |
| (718) 294-1590 |
| Full Name | Empire Dental Health Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1963 Grand Concourse Ste Ll, Bronx, New York |
| Authorized Official Name and Position | Edward M Sunshine (OWNER) |
| Authorized Official Contact | 7182948800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire Dental Health Pc 1963 Grand Concourse Suite Ll Bronx NY 10453-4994 Ph: (718) 294-8800 | Empire Dental Health Pc 1963 Grand Concourse Ste Ll Bronx NY 10453-4994 Ph: (718) 294-8800 |
| NPI Number | 1235953647 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Medicare PECOS PAC ID | 5799210886 |
|---|---|
| Medicare Enrollment ID | O20241126003440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235953647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Edward M. Sunshine |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1912153404 PECOS PAC ID: 6608301791 Enrollment ID: I20241126003496 |
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