| Roosevely Island Family And Cosmetic Dentis | |
|
501 Main St A Roosevelt Island NY 10044 | |
| (212) 752-8722 | |
| (212) 759-5507 |
| Full Name | Roosevely Island Family And Cosmetic Dentis |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 501 Main St, Roosevelt Island, New York |
| Authorized Official Name and Position | Lawrence M Itskowitch (PRESIDENT) |
| Authorized Official Contact | 2127528722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roosevely Island Family And Cosmetic Dentis 501a Main Street Roosevelt Island NY 10044 Ph: (212) 752-8722 | Roosevely Island Family And Cosmetic Dentis 501 Main St A Roosevelt Island NY 10044 Ph: (212) 752-8722 |
| NPI Number | 1437379799 |
|---|---|
| Provider Enumeration Date | 04/27/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437379799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 27566 (New York) | Primary |