| Zusin Dds Pc | |
|
1140 Grant Ave Pelham NY 10803-3440 | |
| (917) 968-5238 | |
| (914) 533-3443 |
| Full Name | Zusin Dds Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1140 Grant Ave, Pelham, New York |
| Authorized Official Name and Position | Oleg Zusin (OWNER) |
| Authorized Official Contact | 9179685238 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Zusin Dds Pc 1140 Grant Ave Pelham NY 10803-3440 Ph: (917) 968-5238 | Zusin Dds Pc 1140 Grant Ave Pelham NY 10803-3440 Ph: (917) 968-5238 |
| NPI Number | 1124156385 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 05/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124156385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 54364 (California) | Primary |
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