MEDICARE: RMR DENISTRY

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	1223P0221X	Pediatric Dentistry

General Provider Information

NPI Number	:	1821680992
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RMR DENISTRY

Provider Business Mailing Address
First Line	:	1974 MAPLE HILL ST STE 4
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4129
Country	:	US
Telephone Number	:	914-245-1670
Fax Number	:

Provider Business Practice Location Address
First Line	:	1974 MAPLE HILL ST STE 4
Second Line	:
City	:	YORKTOWN HEIGHTS
State	:	NY
Zip	:	10598-4129
Country	:	US
Telephone Number	:	914-245-1670
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	RICHARD A. RIFKIN
Credential	:
Telephone Number	:	914-962-2277

Provider Enumeration Date	:	02/09/2021
Last Update Date	:	03/11/2021

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Directions to “RMR DENISTRY ” Practice Location

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