MEDICARE: HAMILTON PLAZA DENTAL SERVICES P.C.

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	040433	NY

General Provider Information

NPI Number	:	1639483555
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMILTON PLAZA DENTAL SERVICES P.C.

Provider Business Mailing Address
First Line	:	1-37 12TH ST.
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215
Country	:	US
Telephone Number	:	718-788-7676
Fax Number	:

Provider Business Practice Location Address
First Line	:	1-37 12TH ST.
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215
Country	:	US
Telephone Number	:	718-788-7676
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. NARCISA STANESCU
Credential	:
Telephone Number	:	646-407-6569

Provider Enumeration Date	:	08/03/2010
Last Update Date	:	08/03/2010

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