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NPI Code Detail

MEDICARE: DR. ROBERT ALAN PRAID D.M.D.

MEDICARE:  DR. ROBERT ALAN PRAID  D.M.D.
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 DentistryDDS029114NY

General Provider Information

NPI Number : 1578669123
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT ALAN PRAID D.M.D.
Provider Business Mailing Address
First Line : 150 PURCHASE ST
Second Line : SUITE 10
City : RYE
State : NY
Zip : 10580-2141
Country : US
Telephone Number : 914-967-4927
Fax Number : 914-967-4339
Provider Business Practice Location Address
First Line : 150 PURCHASE ST
Second Line : SUITE 10
City : RYE
State : NY
Zip : 10580-2141
Country : US
Telephone Number : 914-967-4927
Fax Number : 914-967-4339
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. ROBERT ALAN PRAID D.M.D.” Practice Location

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