| Rye Brook Dental Associates, P.c. | |
|
3010 Westchester Ave Suite#202 Purchase NY 10577-2535 | |
| (914) 251-0117 | |
| (914) 251-0254 |
| Full Name | Rye Brook Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3010 Westchester Ave, Purchase, New York |
| Authorized Official Name and Position | Henry R Russo (OWNER) |
| Authorized Official Contact | 9142510117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rye Brook Dental Associates, P.c. 3010 Westchester Ave Suite#202 Purchase NY 10577-2535 Ph: (914) 251-0117 | Rye Brook Dental Associates, P.c. 3010 Westchester Ave Suite#202 Purchase NY 10577-2535 Ph: (914) 251-0117 |
| NPI Number | 1467583716 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467583716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 021113 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 042549-1 (New York) | Primary |
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