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NPI Code Detail

MEDICARE: HAROLD M KELLNER DDS PC

MEDICARE: HAROLD M KELLNER DDS 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
11223G0001XGeneral Practice Dentistry0-21930-1NY

General Provider Information

NPI Number : 1194884627
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAROLD M KELLNER DDS PC
Provider Business Mailing Address
First Line : 92 E MAIN ST
Second Line :
City : ELMSFORD
State : NY
Zip : 10523-3200
Country : US
Telephone Number : 914-592-7483
Fax Number : 914-592-7686
Provider Business Practice Location Address
First Line : 92 E MAIN ST
Second Line :
City : ELMSFORD
State : NY
Zip : 10523-3200
Country : US
Telephone Number : 914-592-7483
Fax Number : 914-592-7686
Authorized Official
Title or Position : PRESIDENT
Name : DR. HAROLD MOSHE KELLNER
Credential : DDS
Telephone Number : 914-592-7483
Provider Enumeration Date : 12/08/2006
Last Update Date : 08/22/2020

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Directions to “HAROLD M KELLNER DDS PC ” Practice Location

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