| St. Barnabas Hospital Dental Department | |
|
4422 3rd Ave Dental Department Bronx NY 10457 | |
| (718) 960-6839 | |
| (718) 960-3663 |
| Full Name | St. Barnabas Hospital Dental Department |
|---|---|
| Speciality | Dentist |
| Location | 4422 3rd Ave, Bronx, New York |
| Authorized Official Name and Position | Arun Sharma (VP OF REVENUE CYCLE) |
| Authorized Official Contact | 7189603842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Barnabas Hospital Dental Department 4422 3rd Ave Dental Department Bronx NY 10457 Ph: (718) 960-9000 | St. Barnabas Hospital Dental Department 4422 3rd Ave Dental Department Bronx NY 10457 Ph: (718) 960-6839 |
| NPI Number | 1477228971 |
|---|---|
| Provider Enumeration Date | 08/16/2021 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 5395740922 |
|---|---|
| Medicare Enrollment ID | O20220325002116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477228971 | NPI | - | NPPES |
| Provider Name | Christopher J Lane |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205802345 PECOS PAC ID: 6204965767 Enrollment ID: I20100521000852 |
| Provider Name | Justine P Ippolito Fata |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1902980691 PECOS PAC ID: 8123453883 Enrollment ID: I20200127002189 |
| Provider Name | Prince P S Dhillon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134506272 PECOS PAC ID: 8123364338 Enrollment ID: I20220513000478 |
| Provider Name | Alejandra Costantino Finiasz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053488528 PECOS PAC ID: 0446630073 Enrollment ID: I20220629001245 |
| Provider Name | Junaid Mundiya |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1447631445 PECOS PAC ID: 3678810876 Enrollment ID: I20220913002420 |
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