Amber Prazan in Woodside - Dentist

Amber Prazan - NPI 1376698746

Amber Prazan is a Dentist in Woodside, New York. Amber Prazan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Amber Prazan is 1376698746. The last update date is 2007-07-09.

Amber Prazan's current location address is 5903 Roosevelt Ave, Woodside, New York. You can contact this provider via phone number 7186517700 and fax number 7184296795. The mailing address for Amber Prazan is 5903 Roosevelt Ave, Woodside, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Amber Prazan
Address 5903 Roosevelt Ave, Woodside, New York
Phone Number 7186517700
Fax Number 7184296795
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1376698746
Provider Enumeration Date 2007-01-24
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 5903 Roosevelt Ave
City Woodside
State New York (NY)
Post Code 113773546
Phone Number 7186517700
Fax Number 7184296795

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 50329
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2381313 NY --

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FAQs about Amber Prazan

What is the unique 10-digit identification code assigned to Amber Prazan by the Centers for Medicare & Medicaid Services?

The Amber Prazan has been issued the NPI (National Provider Identifier) 1376698746, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Amber Prazan is geographically located?

The Amber Prazan is physically situated at the following location: 5903 Roosevelt Ave, Woodside, NY, 113773546.

What is the Amber Prazan's specialty and taxonomy code?

The Amber Prazan's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1376698746 to Amber Prazan?

The Centers for Medicare & Medicaid Services assigned the 1376698746 to Amber Prazan on 2007-01-24.

When was the information pertaining to Amber Prazan most recently updated or revised?

The details related to Amber Prazan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.

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