| Steven L Essig Dds Pc | |
|
33 Main St Ravena NY 12143-1941 | |
| (518) 756-6174 | |
| (518) 756-8827 |
| Full Name | Steven L Essig Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 33 Main St, Ravena, New York |
| Authorized Official Name and Position | Steven Lawrence Essig (PRESIDENT) |
| Authorized Official Contact | 5187567450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven L Essig Dds Pc 33 Main St Ravena NY 12143-1941 Ph: (518) 756-6174 | Steven L Essig Dds Pc 33 Main St Ravena NY 12143-1941 Ph: (518) 756-6174 |
| NPI Number | 1750764825 |
|---|---|
| Provider Enumeration Date | 07/07/2015 |
| Last Update Date | 07/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750764825 | NPI | - | NPPES |
| 00286140 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 30830 (New York) | Primary |