| Richmond Hill Dental Ass Llp | |
|
11311 Jamaica Ave Richmond Hill NY 11418-2441 | |
| (718) 846-6000 | |
| (718) 846-6008 |
| Full Name | Richmond Hill Dental Ass Llp |
|---|---|
| Speciality | Dentist |
| Location | 11311 Jamaica Ave, Richmond Hill, New York |
| Authorized Official Name and Position | Lewis R Brestin (OWNER) |
| Authorized Official Contact | 7188466000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Hill Dental Ass Llp 11311 Jamaica Ave Richmond Hill NY 11418-2441 Ph: (718) 846-6000 | Richmond Hill Dental Ass Llp 11311 Jamaica Ave Richmond Hill NY 11418-2441 Ph: (718) 846-6000 |
| NPI Number | 1871574384 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 08/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871574384 | NPI | - | NPPES |
| 02247809 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 044929 (New York) | Primary |
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