Organization
COUNTY DENTAL AT NEW CITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH FERTUCCI (PRESIDENT)
(845) 634-4909
Entity
Organization
Contact information
Practice address
151 N MAIN ST, 2ND FLOOR, NEW CITY, NY 10956-3851
(845) 634-4909
(845) 634-4342
Mailing address
151 N MAIN ST, 2ND FLOOR, NEW CITY, NY 10956-3851
(845) 634-4909
(845) 634-4342
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047222
NY
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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