Organization
JOHN N. KERIAZES, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN N KERIAZES D.D.S. (OWNER)
(718) 728-3262
Entity
Organization
Contact information
Practice address
31-10 37 AVENUE, SUITE 507, LONG ISLAND CITY, NY 11101
(718) 728-3262
(718) 786-6823
Mailing address
31-10 37 AVENUE, SUITE 507, LONG ISLAND CITY, NY 11101
(718) 728-3262
(718) 786-6823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0423571
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02016475
—
NY
Enumeration date
06/21/2012
Last updated
06/21/2012
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