Carleton Ave Family Dental

LBN: Kirshenbaum Peruso Kautman Llp
Carleton Ave Family Dental is an health care organization with primary practice located at 109 Carleton Ave , Central Islip NY 11722. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Kirshenbaum Peruso Kautman Llp can be contacted via phone (631) 348-2500, or through Peruso, William Joseph via phone (631) 348-2500.

Contact Information

Primary practice address
109 Carleton Ave Central Islip NY 11722
Phone: (631) 348-2500
Fax: (631) 234-4324
Website:
Map and Directions
Authorized official contact:
Name: Peruso, William Joseph Doctor of Dental Surgery (DDS)
Phone: (631) 348-2500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1720160690
LBN Legal business name Kirshenbaum Peruso Kautman Llp
DBA Doing business as Carleton Ave Family Dental
Authorized official Peruso, William Joseph Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720160690 NPPES
New York MEDICAID 01808433

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