Organization
PEDIATRIC DENTISTRY OF NANUET PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYER NOSKOW DDS (MEMBER)
(845) 507-0100
Entity
Organization
Contact information
Practice address
55 OLD NYACK TPKE, SUITE 109, NANUET, NY 10954-2461
(845) 507-0100
(845) 507-0110
Mailing address
55 OLD NYACK TPKE, SUITE 109, NANUET, NY 10954-2461
(845) 507-0100
(845) 507-0110
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055623
NY
1223P0221X
Pediatric Dentistry
055773
NY
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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