Broadway Mall Dental
Broadway Mall Dental is a Dentist in Hicksville, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
200 Broadway MallHicksville, NY 11801
Phone: (516) 933-3444
Fax: (516) 933-3445
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X (NY) |
|---|
Record details
| NPI number | 1225183551 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Igor Levin — Owner · (516) 933-3444 |
| NPI enumerated | January 25, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 200 Broadway Mall, Hicksville, NY 11801 |
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