| Huntington Family Dentistry Pc | |
|
1679 New York Ave Huntington Station NY 11746-2406 | |
| (631) 771-1577 | |
| (631) 771-1571 |
| Full Name | Huntington Family Dentistry Pc |
|---|---|
| Speciality | Dentist |
| Location | 1679 New York Ave, Huntington Station, New York |
| Authorized Official Name and Position | Shaifali Rametra (PRESIDENT) |
| Authorized Official Contact | 6317711577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Family Dentistry Pc 1679 New York Ave Huntington Station NY 11746-2406 Ph: (631) 771-1577 | Huntington Family Dentistry Pc 1679 New York Ave Huntington Station NY 11746-2406 Ph: (631) 771-1577 |
| NPI Number | 1245679224 |
|---|---|
| Provider Enumeration Date | 06/23/2013 |
| Last Update Date | 06/17/2022 |
| Medicare PECOS PAC ID | 7012305444 |
|---|---|
| Medicare Enrollment ID | O20211103002536 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245679224 | NPI | - | NPPES |
| 03744947 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Shaifali Rametra |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1144451899 PECOS PAC ID: 5799083457 Enrollment ID: I20211103002601 |
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