| Petra V Enzien, DMD | |
|
211 Park Ave, Mechanicville, NY 12118-1502 | |
| (518) 664-2500 | |
| (518) 664-2501 |
| Full Name | Petra V Enzien |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 211 Park Ave, Mechanicville, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336491224 | NPI | - | NPPES |
| 01715080 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 46460 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Petra V Enzien, DMD 211 Park Ave, Mechanicville, NY 12118-1502 Ph: (518) 664-2500 | Petra V Enzien, DMD 211 Park Ave, Mechanicville, NY 12118-1502 Ph: (518) 664-2500 |
Bruce Richard Clarke, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 203 North Second Ave, Mechanicville, NY 12118 Phone: 518-664-7348 | |
Dr. John Lawrence Musci, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 Park Ave, Mechanicville, NY 12118 Phone: 518-664-7751 |