Organization
PEDIATRIC DENTISTRY OF POUGHKEEPSIE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYER HERSH NOSKOW DDS (SOLE MEMBER)
(845) 454-3025
Entity
Organization
Contact information
Practice address
243 NORTH RD STE 1B, POUGHKEEPSIE, NY 12601-1172
(845) 454-3025
(845) 454-3054
Mailing address
243 NORTH RD STE 1B, POUGHKEEPSIE, NY 12601-1172
(845) 454-3025
(845) 454-3054
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03541691
—
NY
Enumeration date
06/26/2015
Last updated
10/05/2015
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