Organization
STEVEN L ESSIG DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LAWRENCE ESSIG DDS (PRESIDENT)
(518) 756-7450
Entity
Organization
Contact information
Practice address
33 MAIN ST, RAVENA, NY 12143-1941
(518) 756-6174
(518) 756-8827
Mailing address
33 MAIN ST, RAVENA, NY 12143-1941
(518) 756-6174
(518) 756-8827
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
30830
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00286140
—
NY
Enumeration date
07/07/2015
Last updated
07/07/2015
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