| Roosevelt Dental Care Iii P.c. | |
|
10324 Roosevelt Ave Suite 200 Corona NY 11368-2330 | |
| (718) 205-7709 | |
| (718) 205-7718 |
| Full Name | Roosevelt Dental Care Iii P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 10324 Roosevelt Ave, Corona, New York |
| Authorized Official Name and Position | Edwin Ostiago (OWNER) |
| Authorized Official Contact | 7182057709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevelt Dental Care Iii P.c. 10324 Roosevelt Ave Suite 200 Corona NY 11368-2330 Ph: (718) 205-7709 | Roosevelt Dental Care Iii P.c. 10324 Roosevelt Ave Suite 200 Corona NY 11368-2330 Ph: (718) 205-7709 |
| NPI Number | 1437327616 |
|---|---|
| Provider Enumeration Date | 02/11/2008 |
| Last Update Date | 02/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437327616 | NPI | - | NPPES |
| 02907959 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051025 (New York) | Primary |
Hellosmile Orthodontics Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103-24 Roosevelt Ave, Corona, NY 11368 Phone: 718-433-2304 | |
Comfort Dental Spa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5121 108th St, Corona, NY 11368 Phone: 718-699-9500 | |
Corona Dental Office, Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 10807 Corona Ave, 2 Floor, Corona, NY 11368 Phone: 718-760-3417 Fax: 718-760-3417 | |
104 Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10423 Roosevelt Avenue, Corona, NY 11368 Phone: 718-426-3000 Fax: 718-426-3002 | |
Roosevelt 26 Dentistry P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103-10 Roosevelt Avenue, 2nd Flr, Corona, NY 11368 Phone: 718-779-2626 | |
Corona Pediatric Dental Plaza Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10308 Roosevelt Ave, 2nd Floor, Corona, NY 11368 Phone: 718-397-7000 | |
Junction Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3809 Junction Blvd, Corona, NY 11368 Phone: 718-639-7100 |