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NPI Code Detail

MEDICARE: CENTURY MEDICAL & DENTAL CENTER INC

MEDICARE: CENTURY MEDICAL & DENTAL CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center7001108RNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144399098
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTURY MEDICAL & DENTAL CENTER INC
Provider Business Mailing Address
First Line : 260 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5940
Country : US
Telephone Number : 718-336-8855
Fax Number : 718-336-4366
Provider Business Practice Location Address
First Line : 260 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5940
Country : US
Telephone Number : 718-336-8855
Fax Number : 718-336-4366
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. VALENTIN ZUSMAN
Credential :
Telephone Number : 718-336-8855
Provider Enumeration Date : 11/07/2006
Last Update Date : 11/24/2015

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Directions to “CENTURY MEDICAL & DENTAL CENTER INC ” Practice Location

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