| Oral Surgery Of Riverdale, P.c. | |
|
3333 Henry Hudson Pkwy Suite 9 Bronx NY 10463-3224 | |
| (718) 796-4550 | |
| (718) 548-1951 |
| Full Name | Oral Surgery Of Riverdale, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 3333 Henry Hudson Pkwy, Bronx, New York |
| Authorized Official Name and Position | Helen Ann Perez (ASSISTANT OFFICE MANAGER) |
| Authorized Official Contact | 9144725252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Of Riverdale, P.c. 3333 Henry Hudson Pkwy Suite 9 Bronx NY 10463-3224 Ph: (718) 796-4550 | Oral Surgery Of Riverdale, P.c. 3333 Henry Hudson Pkwy Suite 9 Bronx NY 10463-3224 Ph: (718) 796-4550 |
| NPI Number | 1538534854 |
|---|---|
| Provider Enumeration Date | 12/11/2015 |
| Last Update Date | 12/11/2015 |
| Medicare PECOS PAC ID | 7214213263 |
|---|---|
| Medicare Enrollment ID | O20170406000490 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538534854 | NPI | - | NPPES |
| 03159991 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 053531 (New York) | Primary |
| Provider Name | Gabriela C Oana |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1154513380 PECOS PAC ID: 2860716743 Enrollment ID: I20170505000185 |
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