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Organization
SAM COSENTINO DDS PC
Active
Organization
SAM COSENTINO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM L COSENTINO DDS (DENTIST)
(718) 271-3100
Entity
Organization
Contact information
Practice address
5212 108TH ST, CORONA, NY 11368-3335
(718) 271-3100
(718) 271-3100
Mailing address
5212 108TH ST, CORONA, NY 11368-3335
(718) 271-3100
(718) 271-3100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
038773
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00875085
—
NY
Enumeration date
07/28/2011
Last updated
07/28/2011
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