# DENTAL CARE OF MANHASSET, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225406101
- **Authorized official:** DR. LEV YUSUPOV DDS (PRESIDENT)
- **Authorized official phone:** (516) 441-5142

## Contact information

- **Practice address:** 1185 NORTHERN BLVD, MANHASSET, NY 11030-3017
- **Practice address phone:** (516) 441-5142
- **Practice address fax:** (516) 441-5146
- **Mailing address:** 1185 NORTHERN BLVD, MANHASSET, NY 11030-3017
- **Mailing address phone:** (516) 441-5142
- **Mailing address fax:** (516) 441-5146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 50-057503 | NY | Yes |

## Other

- **Enumeration date:** 09/09/2015
- **Last updated:** 09/09/2015