MEDICARE: HQY SERVICES INC

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	044505	NY

General Provider Information

NPI Number	:	1326378878
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HQY SERVICES INC

Provider Business Mailing Address
First Line	:	8603 BAY PKWY
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4101
Country	:	US
Telephone Number	:	718-265-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	8603 BAY PKWY
Second Line	:	2ND FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11214-4101
Country	:	US
Telephone Number	:	718-265-8603
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. KRISTINA TRAN
Credential	:	DDS
Telephone Number	:	718-265-8603

Provider Enumeration Date	:	01/06/2010
Last Update Date	:	01/06/2010

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