Individual
DR. JONATHAN BRUCE KAMEROS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10301 LEFFERTS BLVD, SOUTH RICHMOND HILL, NY 11419-2011
(718) 848-7756
(718) 848-1860
Mailing address
10301 LEFFERTS BLVD, SOUTH RICHMOND HILL, NY 11419-2011
(718) 848-7756
(718) 848-1860
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
027576
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6070
DEL;TA DENTAL
NY
01
—
70934
AETNA HEALTH CARE
NY
01
—
CIGNA
8598697004
NY
01
—
DS523
OXFORD HEALTH PLANS
NY
01
—
UNITED CONCORDIA
121771
NY
Enumeration date
01/25/2006
Last updated
07/09/2007
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