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NPI Code Detail

MEDICARE: JOSEPH M RAGOSTA DDS PC

MEDICARE: JOSEPH M RAGOSTA DDS PC
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 Dentistry026063NY

General Provider Information

NPI Number : 1689799876
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOSEPH M RAGOSTA DDS PC
Provider Business Mailing Address
First Line : 2411 EASTCHESTER ROAD
Second Line :
City : BRONX
State : NY
Zip : 10469-5915
Country : US
Telephone Number : 718-652-4706
Fax Number : 914-738-6169
Provider Business Practice Location Address
First Line : 2411 EASTCHESTER ROAD
Second Line :
City : BRONX
State : NY
Zip : 10469-5915
Country : US
Telephone Number : 718-652-4706
Fax Number : 914-738-6169
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOSEPH M RAGOSTA
Credential : DDS
Telephone Number : 718-652-4706
Provider Enumeration Date : 03/20/2007
Last Update Date : 08/22/2020

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