| Patchogue Dental Services Pc | |
|
450 Waverly Ave Suite #06 Patchogue NY 11772 | |
| (631) 758-6689 | |
| (631) 758-6693 |
| Full Name | Patchogue Dental Services Pc |
|---|---|
| Speciality | Dentist |
| Location | 450 Waverly Ave, Patchogue, New York |
| Authorized Official Name and Position | Iqbal Sayed (DENTIST OWNER) |
| Authorized Official Contact | 6317586689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patchogue Dental Services Pc 450 Waverly Ave Suite #06 Patchogue NY 11772 Ph: (631) 758-6689 | Patchogue Dental Services Pc 450 Waverly Ave Suite #06 Patchogue NY 11772 Ph: (631) 758-6689 |
| NPI Number | 1053580803 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 02/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053580803 | NPI | - | NPPES |
| 00646355 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 035678 (New York) | Primary |
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