Sunrise Mall Dental Pc

LBN: Sunrise Mall Dental Pc
Sunrise Mall Dental Pc is an health care organization with primary practice located at 380 Sunrise Mall , Massapequa NY 11758. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Sunrise Mall Dental Pc can be contacted via phone (516) 798-3444, or through Levin, Igor via phone (516) 798-3444.

Contact Information

Primary practice address
380 Sunrise Mall Massapequa NY 11758
Phone: (516) 798-3444
Fax: (516) 798-3443
Website:
Map and Directions
Authorized official contact:
Name: Levin, Igor Doctor of Dental Surgery (DDS)
Phone: (516) 798-3444

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1619022944
LBN Legal business name Sunrise Mall Dental Pc
DBA Doing business as
Authorized official Levin, Igor Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
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 1619022944 NPPES
New York MEDICAID 02671561

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