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NPI Code Detail

MEDICARE: DR. HAROLD MOSHE KELLNER DDS

MEDICARE: DR. HAROLD MOSHE KELLNER 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
11223G0001XGeneral Practice Dentistry021930-1NY

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 : 1639173552
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAROLD MOSHE KELLNER DDS
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 07/08/2007

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Directions to “ DR. HAROLD MOSHE KELLNER DDS” Practice Location

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