| Mr Prolay Kumer Paul, DDS | |
|
101 S Bergen Pl, Freeport, NY 11520-3528 | |
| (516) 236-0000 | |
| Not Available |
| Full Name | Mr Prolay Kumer Paul |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 101 S Bergen Pl, Freeport, 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 |
|---|---|---|---|
| 1134132301 | NPI | - | NPPES |
| 2224019 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 220102139701 (New Jersey) | Secondary |
| 1223G0001X | Dentist - General Practice | 049154 (New York) | Primary |
| Entity Name | Harmony Health Care Long Island |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336669670 PECOS PAC ID: 5991970535 Enrollment ID: O20111212000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Prolay Kumer Paul, DDS 1600 Stewart Ave Ste 300, Westbury, NY 11590-6611 Ph: (516) 396-0187 | Mr Prolay Kumer Paul, DDS 101 S Bergen Pl, Freeport, NY 11520-3528 Ph: (516) 236-0000 |
Winardo Q Lomboy, DDS Dentist Medicare: Medicare Enrolled Practice Location: 333 N Main St, Freeport, NY 11520 Phone: 516-623-4420 | |
Angela Gisonda, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 268 W Merrick Rd, Freeport, NY 11520 Phone: 516-378-3200 | |
Dr. Olga Y Celleri-pincus, DDS Dentist Medicare: Medicare Enrolled Practice Location: 101 S Bergen Pl, Freeport, NY 11520 Phone: 516-623-3600 Fax: 516-623-9191 | |
Michelle Greszes, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 441 N Main St, Freeport, NY 11520 Phone: 516-379-5500 | |
Dr. Joseph Kalani Ahlo, DMD Dentist Medicare: Medicare Enrolled Practice Location: 396 Atlantic Ave, Freeport, NY 11520 Phone: 516-378-1968 | |
Dr. Jaime Philip, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 80 Guy Lombardo Ave, Freeport, NY 11520 Phone: 516-546-6709 |