MEDICARE: ALDONA PYRCHLA DDS PLLC

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	261QD0000X	Dental Clinic/Center	051481	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1801930854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALDONA PYRCHLA DDS PLLC

Provider Business Mailing Address
First Line	:	511 68TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-6003
Country	:	US
Telephone Number	:	718-238-3025
Fax Number	:	718-238-3026

Provider Business Practice Location Address
First Line	:	511 68TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11220-6003
Country	:	US
Telephone Number	:	718-238-3025
Fax Number	:	718-238-3026

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALDONA PYRCHLA
Credential	:	DDS
Telephone Number	:	718-238-3025

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	11/02/2011

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