Aestheticaredental

LBN: Aestheticaredental
Aestheticaredental is an health care organization with primary practice located at 21816 Hillside Ave , Queens Village NY 11427-1951. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Aestheticaredental can be contacted via phone (917) 579-2194, or through Haque, Mohammad Reazul via phone (917) 579-2194.

Contact Information

Primary practice address
21816 Hillside Ave Queens Village NY 11427-1951
Phone: (917) 579-2194
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Haque, Mohammad Reazul Doctor of Dental Surgery (DDS)
Phone: (917) 579-2194

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 055217 New York

Profile Details

NPI number 1972872430
LBN Legal business name Aestheticaredental
DBA Doing business as
Authorized official Haque, Mohammad Reazul Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2011
Last updated Dec 29th, 2011 - about 15 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 1972872430 NPPES
New York MEDICAID 03283552

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