Corona Pediatric Dental Plaza

LBN: Corona 26 Dental Group
Corona Pediatric Dental Plaza is an health care organization with primary practice located at 10308 Roosevelt Ave 2Nd Floor, Corona NY 11368-2330. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Corona 26 Dental Group can be contacted via phone (718) 397-7000, or through Pitkouvich, Alicia A via phone (917) 391-8000.

Contact Information

Primary practice address
10308 Roosevelt Ave 2Nd Floor Corona NY 11368-2330
Phone: (718) 397-7000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pitkouvich, Alicia A
Phone: (917) 391-8000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 055939 New York

Profile Details

NPI number 1245632207
LBN Legal business name Corona 26 Dental Group
DBA Doing business as Corona Pediatric Dental Plaza
Authorized official Pitkouvich, Alicia A
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2014
Last updated Sep 22nd, 2014 - about 12 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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