Organization
ERICK S. TRIVEDI D.D.S, P.C
Active
Other names
South Amityville Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICK S. TRIVEDI DDS (DENTIST)
(631) 842-0300
Entity
Organization
Contact information
Practice address
200 ALBANY AVE, AMITYVILLE, NY 11701-2501
(631) 842-0300
Mailing address
200 ALBANY AVE, AMITYVILLE, NY 11701-2501
(631) 842-0300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
049545
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220693
—
NY
Enumeration date
03/28/2008
Last updated
03/28/2008
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