Jerome Dental Pc

LBN: Jerome Dental Pc
Jerome Dental Pc is an health care organization with primary practice located at 1810 Jerome Ave 2Nd Floor, Brooklyn NY 11235-3621. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Jerome Dental Pc can be contacted via phone (718) 615-2030, or through Gubenko, Nataliya via phone (718) 615-2030.

Contact Information

Primary practice address
1810 Jerome Ave 2Nd Floor Brooklyn NY 11235-3621
Phone: (718) 615-2030
Fax: (718) 615-2030
Website:
Map and Directions
Authorized official contact:
Name: Gubenko, Nataliya Doctor of Dental Surgery (DDS)
Phone: (718) 615-2030

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 046347 New York

Profile Details

NPI number 1487797338
LBN Legal business name Jerome Dental Pc
DBA Doing business as
Authorized official Gubenko, Nataliya Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 15th, 2007 - about 19 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 1487797338 NPPES
New York MEDICAID 01663405

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