Organization
CORONA 26 DENTAL GROUP
Active
Other names
Corona Pediatric Dental Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA A PITKOUVICH (MANAGER)
(917) 391-8000
Entity
Organization
Contact information
Practice address
10308 ROOSEVELT AVE, 2ND FLOOR, CORONA, NY 11368-2330
(718) 397-7000
Mailing address
10308 ROOSEVELT AVE, 2ND FLOOR, CORONA, NY 11368-2330
(718) 397-7000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
055939
NY
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up