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Contact Information

DR. I DENTAL PC
8610 GRAND AVE
1B
ELMHURST, NY11373
 Phone: 631-517-8166
 Fax: 631-517-8166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for DR. I DENTAL PC

NPI Number 1053819318
LBN Legal business name DR. I DENTAL PC
Authorized official EMMANUIL ILYAYEV - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2018
Last updated 01/31/2018 - About 8 years ago
Identifiers
NY License # 058141
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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