Organization
JAMAICA DTC DENTAL
Active
Other names
Medisys Family Care Center-St Albans
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA ANNE CRONIN RDH (MANAGER)
(718) 206-9888
Entity
Organization
Contact information
Practice address
111-20 MERRICK BLVD, ST ALBANS, NY 11433
(718) 206-9888
(718) 206-3033
Mailing address
111-20 MERRICK BLVD, ST ALBANS, NY 11433
(718) 206-9888
(718) 206-3033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01866706
—
NY
Enumeration date
02/02/2007
Last updated
08/22/2020
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