Citidental

LBN: Citidental Of Woodhaven Pc
Citidental is an health care organization with primary practice located at 10149 Woodhaven Blvd Suite 2, Ozone Park NY 11416-2300. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Citidental Of Woodhaven Pc can be contacted via phone (718) 848-7722, or through Shraga, Marina via phone (917) 797-7272.

Contact Information

Primary practice address
10149 Woodhaven Blvd Suite 2 Ozone Park NY 11416-2300
Phone: (718) 848-7722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shraga, Marina Doctor of Dental Surgery (DDS)
Phone: (917) 797-7272

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 052174 New York
Dental Providers / Dentist 122300000X 055124 New York

Profile Details

NPI number 1811276926
LBN Legal business name Citidental Of Woodhaven Pc
DBA Doing business as Citidental
Authorized official Shraga, Marina Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 6th, 2011
Last updated Sep 1st, 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 1811276926 NPPES
New York MEDICAID 03307031
New York MEDICAID 02721117

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