Staten Island Mall Dental, PC
Staten Island Mall Dental, PC is a Dentist in Staten Island, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2655 Richmond Avenue 2220Staten Island, NY 10314
Phone: (718) 982-5500
Fax: (718) 982-5554
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 · Licence 046-043 (NY) |
|---|
Record details
| NPI number | 1013139237 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ross Krasnov — Dentist · (718) 982-5500 |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2655 Richmond Avenue, 2220, Staten Island, NY 10314 |
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