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NPI Code Detail

MEDICARE: DR. ADEL E NASSER DDS

MEDICARE: DR. ADEL E NASSER 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
1122300000XDentist38325NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477607760
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADEL E NASSER DDS
Provider Business Mailing Address
First Line : 3096 35TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11103-4702
Country : US
Telephone Number : 718-956-8812
Fax Number :
Provider Business Practice Location Address
First Line : 3096 35 STREET
Second Line :
City : ASTORIA
State : NY
Zip : 11103-3909
Country : US
Telephone Number : 718-956-8812
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2007
Last Update Date : 06/28/2013

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Directions to “ DR. ADEL E NASSER DDS” Practice Location

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