Organization
VERED MASLAVI, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERED MASLAVI DDS (PEDIATRIC DENTIST)
(718) 279-0900
Entity
Organization
Contact information
Practice address
4505 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-3042
(718) 279-0900
(718) 279-0929
Mailing address
4505 FRANCIS LEWIS BLVD, BAYSIDE, NY 11361-3042
(718) 279-0900
(718) 279-0929
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
049740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02524963
MEDICAID ID NUMBER
NY
01
—
9176784
DORAL ID NUMBER
NY
Enumeration date
04/17/2007
Last updated
08/22/2020
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