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NPI Code Detail

MEDICARE: NIRMOLAR DENTAL PC

MEDICARE: NIRMOLAR DENTAL PC
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
1122300000XDentist056882NY

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 : 1427479898
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIRMOLAR DENTAL PC
Provider Business Mailing Address
First Line : 1154 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2077
Country : US
Telephone Number : 718-622-8960
Fax Number : 718-622-8950
Provider Business Practice Location Address
First Line : 1154 FULTON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2077
Country : US
Telephone Number : 718-622-8960
Fax Number : 718-622-8950
Authorized Official
Title or Position : OWNER
Name : DR. NIRMOLRATTAN K CHANDHOKE
Credential : DMD
Telephone Number : 718-622-8950
Provider Enumeration Date : 01/02/2014
Last Update Date : 01/02/2014

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Directions to “NIRMOLAR DENTAL PC ” Practice Location

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