Organization
QUEENS COUNTY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J COLLURA (OWNER)
(631) 462-4600
Entity
Organization
Contact information
Practice address
24208 HILLSIDE AVE, BELLEROSE, NY 11426-1336
(718) 412-0945
(917) 387-8695
Mailing address
24208 HILLSIDE AVE, BELLEROSE, NY 11426-1336
(718) 412-0945
(917) 387-8695
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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