MEDICARE: NEW YORK FAMILY DENTAL CARE

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	122300000X	Dentist

General Provider Information

NPI Number	:	1891939377
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW YORK FAMILY DENTAL CARE

Provider Business Mailing Address
First Line	:	322 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5002
Country	:	US
Telephone Number	:	718-630-1030
Fax Number	:	718-630-1031

Provider Business Practice Location Address
First Line	:	322 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-5002
Country	:	US
Telephone Number	:	718-630-1030
Fax Number	:	718-630-1031

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SAMER CHAHINE
Credential	:	D.M.D
Telephone Number	:	718-630-1030

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/28/2009

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Directions to “NEW YORK FAMILY DENTAL CARE ” Practice Location

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