Healthcare Provider Details

I. General information

NPI: 1023938594
Provider Name (Legal Business Name): FLOSS DENTAL NEW YORK PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

754 BLOOMING GROVE TPKE
NEW WINDSOR NY
12553-8005
US

IV. Provider business mailing address

754 BLOOMING GROVE TPKE
NEW WINDSOR NY
12553-8005
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-8093
  • Fax: 845-565-5658
Mailing address:
  • Phone: 845-561-8093
  • Fax: 845-565-5658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JESSICA GUARNERI
Title or Position: PRACTICE MANAGER
Credential:
Phone: 845-561-8093