Palisades Mall Dental Llp

LBN: Palisades Mall Dental Llp
Palisades Mall Dental Llp is an health care organization with primary practice located at 3645 Palisades Center Dr , West Nyack NY 10994-6612. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Palisades Mall Dental Llp can be contacted via phone (845) 353-3350, or through Krasnov, Ross via phone (845) 353-3350.

Contact Information

Primary practice address
3645 Palisades Center Dr West Nyack NY 10994-6612
Phone: (845) 353-3350
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Krasnov, Ross Doctor of Dental Surgery (DDS)
Phone: (845) 353-3350

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 046043 New York

Profile Details

NPI number 1952601197
LBN Legal business name Palisades Mall Dental Llp
DBA Doing business as
Authorized official Krasnov, Ross Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2010
Last updated Oct 21st, 2010 - about 14 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 1952601197 NPPES
New York MEDICAID 05180001

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