Organization
HUDSON VALLEY MALL DENTAL LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS KRASNOV DDS (OWNER)
(845) 336-0400
Entity
Organization
Contact information
Practice address
1300 ULSTER AVE, 160, KINGSTON, NY 12401-1501
(845) 336-0400
Mailing address
1300 ULSTER AVE, 160, KINGSTON, NY 12401
(845) 336-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01580001
—
NY
Enumeration date
10/28/2010
Last updated
10/28/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us