| Endodontic Associates Of Bayside, Pllc | |
|
58-47 Francis Lewis Blvd Suite 12 Bayside NY 11364-1601 | |
| (718) 224-4000 | |
| (718) 224-1921 |
| Full Name | Endodontic Associates Of Bayside, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 58-47 Francis Lewis Blvd, Bayside, New York |
| Authorized Official Name and Position | Nancy Panagopoulos (OFFICE MANAGER) |
| Authorized Official Contact | 7182244000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Associates Of Bayside, Pllc 58-47 Francis Lewis Blvd Suite 12 Bayside NY 11364-1601 Ph: (718) 224-4000 | Endodontic Associates Of Bayside, Pllc 58-47 Francis Lewis Blvd Suite 12 Bayside NY 11364-1601 Ph: (718) 224-4000 |
| NPI Number | 1861642076 |
|---|---|
| Provider Enumeration Date | 09/24/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861642076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 032322 (New York) | Primary |
| 1223E0200X | Dentist - Endodontics | 047274 (New York) | Secondary |
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