Dr Joseph Lemuel De Leon, DMD | |
1869 Brentwood Rd, Brentwood, NY 11717-4625 | |
(631) 416-5480 | |
(631) 994-2900 |
Full Name | Dr Joseph Lemuel De Leon |
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Gender | Male |
Speciality | Dentist |
Location | 1869 Brentwood Rd, Brentwood, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720232143 | NPI | - | NPPES |
06551766 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | DN1857105 (Massachusetts) | Secondary |
1223G0001X | Dentist - General Practice | 9813 (Massachusetts) | Secondary |
122300000X | Dentist | 060985 (New York) | Primary |
Entity Name | Brigham & Womens Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Lemuel De Leon, DMD Po Box 5036, White Plains, NY 10602-5036 Ph: (924) 898-9421 | Dr Joseph Lemuel De Leon, DMD 1869 Brentwood Rd, Brentwood, NY 11717-4625 Ph: (631) 416-5480 |
Dr. Joseph Anthony Simonetti, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1556 Islip Ave, Brentwood, NY 11717 Phone: 631-277-4848 | |
Hanna Song, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 566 Suffolk Ave, Brentwood, NY 11717 Phone: 631-813-2008 | |
Dr. Hyunna Song, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 566 Suffolk Ave, Brentwood, NY 11717 Phone: 631-813-2008 | |
Maurice Saenz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 48 Walter St, Brentwood, NY 11717 Phone: 631-951-4009 | |
Manjiri Pande, DMD Dentist Medicare: Medicare Enrolled Practice Location: 566 Suffolk Ave, Brentwood, NY 11717 Phone: 631-231-5566 | |
Evangelina Covarrubias, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 781 Suffolk Ave, Suite 3, Brentwood, NY 11717 Phone: 631-273-6315 Fax: 631-273-0692 | |
Dr. Elias Master, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18 1st Ave, Brentwood, NY 11717 Phone: 631-231-3336 Fax: 631-231-8992 |