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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

99-04 57TH AVENUE, INC.

Active Organization

Dental Clinic · CORONA, NY

Registration Details

NPI Number
1679977680
Provider Type
Organization
NPI Issued
Oct 20, 2014 (11.520896900873 yrs)
Last Updated
Oct 20, 2014
License
0438701 (NY)

Practice Information

Address
9904 57TH AVE
SUITE LH
CORONA, NY, 113683746
Browse NY providers · Browse ZIP 11368
Phone
7187600471
Fax
7187604739
Primary Specialty
Dental Clinic
261QD0000X

Other Dental Clinic Organizations in CORONA, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.