MEDICARE: AESTHETIC DENTISTRY OF ROCKLAND COUNTY

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	045170	NY

General Provider Information

NPI Number	:	1114141496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AESTHETIC DENTISTRY OF ROCKLAND COUNTY

Provider Business Mailing Address
First Line	:	169 N MIDDLETOWN RD
Second Line	:
City	:	PEARL RIVER
State	:	NY
Zip	:	10965-2029
Country	:	US
Telephone Number	:	845-735-7500
Fax Number	:	845-735-7500

Provider Business Practice Location Address
First Line	:	169 N MIDDLETOWN RD
Second Line	:
City	:	PEARL RIVER
State	:	NY
Zip	:	10965-2029
Country	:	US
Telephone Number	:	845-735-7500
Fax Number	:	845-735-7500

Authorized Official
Title or Position	:	DENTIST
Name	:	VLADIMIR MESKIN
Credential	:	DDS
Telephone Number	:	845-735-7500

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1073516027 — DR. JOHN CHU-HONG CHANG M.D.
Practice Location Address:

169 N MIDDLETOWN RD
PEARL RIVER, NY
10965-2029

Practice Phone: 845-735-5666
Practice Fax: 845-735-5673

1558364505 — DR. ANDREW SPINAK M.D.
Practice Location Address:

169 N MIDDLETOWN RD
PEARL RIVER, NY
10965-2029

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Practice Fax: 845-735-5673

1972593994 — STEVEN P. ADLER D.P.M.
Practice Location Address:

169 N MIDDLETOWN RD
PEARL RIVER, NY
10965-2029

Practice Phone: 845-735-7234
Practice Fax: 845-735-3440

1093786642 — MARIA SPINAK, MD, PC
Practice Location Address:

169 N MIDDLETOWN RD
PEARL RIVER, NY
10965-2029

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1831454396 — PEARL RIVER CHEMISTS, INC.
Practice Location Address:

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Practice Fax:

1548354764 — THREE RIVERS DISTRICT HEALTH DEPARTMENT
Practice Location Address:

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Directions to “AESTHETIC DENTISTRY OF ROCKLAND COUNTY ” Practice Location

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