MEDICARE: AIMEE SAPOSNICK DDS

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
1	1223P0221X	Pediatric Dentistry	050035	NY

General Provider Information

NPI Number	:	1174512248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AIMEE SAPOSNICK DDS

Provider Business Mailing Address
First Line	:	15 FISHER LN
Second Line	:	SUITE 102
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2222
Country	:	US
Telephone Number	:	914-761-4872
Fax Number	:	914-761-3544

Provider Business Practice Location Address
First Line	:	15 FISHER LN
Second Line	:	SUITE 102
City	:	WHITE PLAINS
State	:	NY
Zip	:	10603-2222
Country	:	US
Telephone Number	:	914-761-4872
Fax Number	:	914-761-3544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2005
Last Update Date	:	03/06/2014

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