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Organization
PROHEALTH DENTAL PLLC
Active
Organization
PROHEALTH DENTAL PLLC
Active
Parent organization
PROHEALTH DENTAL PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROHEALTH DENTAL PLLC
Authorized official
NATALYA KOROBEYNYK (RCM)
(516) 654-4400
Entity
Organization
Contact information
Practice address
5011 VERNON BLVD, LONG ISLAND CITY, NY 11101
(718) 650-5566
Mailing address
3333 NEW HYDE PARK RD STE 310, NEW HYDE PARK, NY 11042-1205
(516) 654-4400
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/27/2019
Last updated
02/21/2023
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