| Michael Gitlin Dds Pc | |
|
4250 Hempstead Tpke #4 Bethpage NY 11714-5711 | |
| (516) 579-8950 | |
| Not Available |
| Full Name | Michael Gitlin Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4250 Hempstead Tpke, Bethpage, New York |
| Authorized Official Name and Position | Michael Gitlin (OWENER) |
| Authorized Official Contact | 5165798950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Gitlin Dds Pc 4250 Hempstead Tpke #4 Bethpage NY 11714-5711 Ph: (516) 579-8950 | Michael Gitlin Dds Pc 4250 Hempstead Tpke #4 Bethpage NY 11714-5711 Ph: (516) 579-8950 |
| NPI Number | 1154691541 |
|---|---|
| Provider Enumeration Date | 01/03/2012 |
| Last Update Date | 01/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154691541 | NPI | - | NPPES |
| 01044408 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 041069 (New York) | Primary |
Michael Gitlin Dds P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 99 Hicksville Rd, Bethpage, NY 11714 Phone: 516-579-8950 Fax: 516-579-0092 | |
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