Organization · Type 2 NPI
Integrative Dental Care P C
Customized Equipment (DME) · East Islip, NY
NPI number
1003277054
Active
Practice location
127 W Main St
East Islip, NY 11730
Mailing address
325 Lake Ave Unit 748
St. James, NY 11780-5045
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | 049510 (NY) |
Customized Equipment (DME): Definition to come...
2 other providers at this address
About NPI 1003277054
Integrative Dental Care P C's National Provider Identifier is 1003277054, issued on Mar 17, 2016. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in East Islip, NY. The record was last updated on Mar 22, 2016.