Organization
LILLIAN KELNER DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILLIAN KELNER DDS (DENTIST)
(718) 980-0844
Entity
Organization
Contact information
Practice address
430 SEAVIEW AVE, STATEN ISLAND, NY 10305-3401
(718) 980-0844
Mailing address
430 SEAVIEW AVE, STATEN ISLAND, NY 10305-3401
(718) 980-0844
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
261QD0000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02145811
—
NY
01
—
1664405411
NPI PERSONAL
NY
Enumeration date
04/09/2007
Last updated
08/22/2020
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