| Laura Wysocki, | |
|
111 E 210th St, Bronx, NY 10467-2401 | |
| (718) 920-4321 | |
| Not Available |
| Full Name | Laura Wysocki |
|---|---|
| Gender | Female |
| Speciality | Dentist - Pediatric Dentistry |
| Location | 111 E 210th St, Bronx, 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 |
|---|---|---|---|
| 1073053880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 060451 (New York) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Montefiore Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063525152 PECOS PAC ID: 3779496021 Enrollment ID: O20031113000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Wysocki, 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321 | Laura Wysocki, 111 E 210th St, Bronx, NY 10467-2401 Ph: (718) 920-4321 |
Dr. Victoire Bogui, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1770 Grand Concourse, Bronx, NY 10457 Phone: 718-901-8110 Fax: 718-901-8121 |
Dr. Amit Punj, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3450 Wayne Ave, Apt 13 H, Bronx, NY 10467 Phone: 918-850-1030 |
Dr. Hadley S Bach, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1966 Newbold Ave, Suite 107, Bronx, NY 10472 Phone: 718-863-9733 |
Khrystyna Leskiv, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1775 Grand Concourse, Bronx, NY 10453 Phone: 718-992-7669 |
Dr. Klenise Paranhos, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2386 Jerome Ave, Bronx, NY 10546 Phone: 718-220-1771 |
David Tashman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4601 Henry Hudson Pkwy W, A-11, Bronx, NY 10471 Phone: 718-519-0500 |
Dr. Claire Lauren Leewing, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321 |