Organization
DELANCEY DENTAL, P.C.
Active
Other names
.All Access Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MASCARENHAS DDS (PRESIDENT, CHIEF CLINICAL OFFICER)
(212) 695-5057
Entity
Organization
Contact information
Practice address
288 MAIN ST, BEACON, NY 12508-3015
(845) 838-0086
Mailing address
1350 BROADWAY, SUITE 2104, NEW YORK, NY 10018-7702
(212) 695-5057
(212) 242-3241
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0489681
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0016750
DORAL USA PROVIDER NUMBER
NY
05
—
02099310
—
NY
05
—
02634917
—
NY
05
—
02691725
—
NY
05
—
02713422
—
NY
01
—
A1807
HEALTHPLEXINC. PROVIDER #
NY
Enumeration date
10/12/2006
Last updated
05/16/2012
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