| Empire State Orthodontics, Pc | |
|
207 Mohawk Ave # 1a Scotia NY 12302-2150 | |
| (518) 535-3294 | |
| Not Available |
| Full Name | Empire State Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 207 Mohawk Ave # 1a, Scotia, New York |
| Authorized Official Name and Position | Casey Lonabocker (VP STRATEGY AND OPERATIONS) |
| Authorized Official Contact | 6175353364 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire State Orthodontics, Pc 131 Dartmouth St Fl 3 Boston MA 02116-5297 Ph: () - | Empire State Orthodontics, Pc 207 Mohawk Ave # 1a Scotia NY 12302-2150 Ph: (518) 535-3294 |
| NPI Number | 1003571365 |
|---|---|
| Provider Enumeration Date | 11/02/2021 |
| Last Update Date | 11/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003571365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Dr. Jeffrey M. Backer Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 Mohawk Ave, Scotia, NY 12302 Phone: 518-377-4431 Fax: 518-377-0415 |