Organization
DENTAL CARE OF MANHASSET, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEV YUSUPOV DDS (PRESIDENT)
(516) 441-5142
Entity
Organization
Contact information
Practice address
1185 NORTHERN BLVD, MANHASSET, NY 11030-3017
(516) 441-5142
(516) 441-5146
Mailing address
1185 NORTHERN BLVD, MANHASSET, NY 11030-3017
(516) 441-5142
(516) 441-5146
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
50-057503
NY
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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