Organization
FOURTH AVENUE DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW MARON DMD (DENTIST)
(718) 439-2876
Entity
Organization
Contact information
Practice address
5404 4TH AVE, BROOKLYN, NY 11220-3006
(718) 439-2876
(718) 439-2879
Mailing address
5404 4TH AVE, BROOKLYN, NY 11220-3006
(718) 439-2876
(718) 439-2879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03170656
—
NY
Enumeration date
03/23/2011
Last updated
08/07/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us