MEDICARE: DR. HAROLD BILLER 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	1223G0001X	General Practice Dentistry	35116	NY

General Provider Information

NPI Number	:	1083617088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HAROLD BILLER DDS

Provider Business Mailing Address
First Line	:	8031 189TH ST
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-1034
Country	:	US
Telephone Number	:	718-464-3647
Fax Number	:	718-464-3695

Provider Business Practice Location Address
First Line	:	8031 189TH ST
Second Line	:
City	:	HOLLIS
State	:	NY
Zip	:	11423-1034
Country	:	US
Telephone Number	:	718-464-3647
Fax Number	:	718-464-3695

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/08/2007

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