| Plaza Endodontic Grp Pc | |
|
2215 Hendrickson Street Plaza Endodontic Group Pc Brooklyn NY 11234-5130 | |
| (718) 377-4884 | |
| (718) 377-1063 |
| Full Name | Plaza Endodontic Grp Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2215 Hendrickson Street, Brooklyn, New York |
| Authorized Official Name and Position | Mark Joel Fishman (PRESIDENT) |
| Authorized Official Contact | 7183774884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Endodontic Grp Pc 2215 Hendrickson Street Plaza Endodontic Group Pc Brooklyn NY 11234-5130 Ph: (718) 377-4884 | Plaza Endodontic Grp Pc 2215 Hendrickson Street Plaza Endodontic Group Pc Brooklyn NY 11234-5130 Ph: (718) 377-4884 |
| NPI Number | 1164506028 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 04/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164506028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 029156 (New York) | Primary |
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