| Pds Management Services ,LLC | |
|
29 N Airmont Rd Ste 22 Suffern NY 10901-4242 | |
| (845) 369-3703 | |
| (845) 369-3183 |
| Full Name | Pds Management Services ,LLC |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 29 N Airmont Rd Ste 22, Suffern, New York |
| Authorized Official Name and Position | Barry L Jacobson (OWNER) |
| Authorized Official Contact | 8453693703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pds Management Services ,LLC 29 N Airmont Rd Ste 22 Suffern NY 10901-4242 Ph: (845) 369-3703 | Pds Management Services ,LLC 29 N Airmont Rd Ste 22 Suffern NY 10901-4242 Ph: (845) 369-3703 |
| NPI Number | 1477272367 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477272367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (NU) | Primary |
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