| Hudson Valley Plaza Dental Llp | |
|
79 Vandenburgh Ave Troy NY 12180-6024 | |
| (518) 273-7777 | |
| Not Available |
| Full Name | Hudson Valley Plaza Dental Llp |
|---|---|
| Speciality | Dentist |
| Location | 79 Vandenburgh Ave, Troy, New York |
| Authorized Official Name and Position | Ross Krasnov (OWNER) |
| Authorized Official Contact | 5182737777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hudson Valley Plaza Dental Llp 79 Vandenburgh Ave Troy NY 12180-6024 Ph: (518) 273-7777 | Hudson Valley Plaza Dental Llp 79 Vandenburgh Ave Troy NY 12180-6024 Ph: (518) 273-7777 |
| NPI Number | 1710247580 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710247580 | NPI | - | NPPES |
| 01580001 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 046043 (New York) | Primary |
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