| Theresa C. Fan, Dds, Pllc | |
|
176 N Village Ave Ste 1b Rockville Centre NY 11570-3800 | |
| (516) 382-4789 | |
| (516) 382-4789 |
| Full Name | Theresa C. Fan, Dds, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 176 N Village Ave Ste 1b, Rockville Centre, New York |
| Authorized Official Name and Position | Theresa C Fan (OWNER/MEMBER) |
| Authorized Official Contact | 5163824789 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa C. Fan, Dds, Pllc 120 Horton Hwy Apt D6 Mineola NY 11501-3929 Ph: (516) 578-7361 | Theresa C. Fan, Dds, Pllc 176 N Village Ave Ste 1b Rockville Centre NY 11570-3800 Ph: (516) 382-4789 |
| NPI Number | 1205321304 |
|---|---|
| Provider Enumeration Date | 06/30/2018 |
| Last Update Date | 06/30/2018 |
| Medicare PECOS PAC ID | 8123363207 |
|---|---|
| Medicare Enrollment ID | O20181218001391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205321304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051937-1 (New York) | Primary |
Michael J Rechter, Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N Centre Ave, Suite #402, Rockville Centre, NY 11570 Phone: 516-766-0122 | |
Harold Goldban Gary Weinberg Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 N Park Ave, Rockville Centre, NY 11570 Phone: 516-536-5111 Fax: 516-536-5159 | |
Keith H Hasday Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 N Park Ave, Rockville Centre, NY 11570 Phone: 516-665-1029 Fax: 516-678-7248 | |
South Nassau Dental Arts Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 North Park Avenue, Rockville Centre, NY 11570 Phone: 516-763-4500 Fax: 516-763-4502 | |
Neil R Mcgowan Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 N Centre Ave Ste 303, Rockville Centre, NY 11570 Phone: 516-520-8688 Fax: 516-520-8676 | |
Bradley S. Portenoy, D.d.s,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 371 Merrick Rd, Suite 304, Rockville Centre, NY 11570 Phone: 516-764-4386 Fax: 516-764-4389 |