# JAMAICA DTC DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medisys Family Care Center-St Albans
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366580037
- **Authorized official:** MS. PATRICIA ANNE CRONIN RDH (MANAGER)
- **Authorized official phone:** (718) 206-9888

## Contact information

- **Practice address:** 111-20 MERRICK BLVD, ST ALBANS, NY 11433
- **Practice address phone:** (718) 206-9888
- **Practice address fax:** (718) 206-3033
- **Mailing address:** 111-20 MERRICK BLVD, ST ALBANS, NY 11433
- **Mailing address phone:** (718) 206-9888
- **Mailing address fax:** (718) 206-3033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 08/22/2020