| Rockaway Beach Orthodontics, Pc | |
|
11412 Beach Channel Dr Ste 4 Rockaway Park NY 11694-2215 | |
| (718) 924-2091 | |
| Not Available |
| Full Name | Rockaway Beach Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 11412 Beach Channel Dr Ste 4, Rockaway Park, New York |
| Authorized Official Name and Position | Evan Cohen (OWNER) |
| Authorized Official Contact | 7189242091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockaway Beach Orthodontics, Pc 11412 Beach Channel Dr Ste 4 Rockaway Park NY 11694-2215 Ph: (718) 924-2091 | Rockaway Beach Orthodontics, Pc 11412 Beach Channel Dr Ste 4 Rockaway Park NY 11694-2215 Ph: (718) 924-2091 |
| NPI Number | 1255899712 |
|---|---|
| Provider Enumeration Date | 03/04/2019 |
| Last Update Date | 03/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255899712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Smile Masters Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11412 Beach Channel Dr Ste 4, Rockaway Park, NY 11694 Phone: 718-924-2091 | |
5b105strdentalpc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Beach 105th St, Rockaway Park, NY 11694 Phone: 718-474-0007 Fax: 718-474-0004 |