Edward Stephen Kondak in Greenport - General Practice
Edward Stephen Kondak - NPI 1134324254
Edward Stephen Kondak is a General Practice in Greenport, New York. Edward Stephen Kondak practices all healthcare services and medical treatments related to General Practice. The NPI Number for Edward Stephen Kondak is 1134324254. The last update date is 2007-07-08.
Edward Stephen Kondak's current location address is Po Box 98, Greenport, New York. You can contact this provider via phone number 6314771177 and fax number 6314771175. The mailing address for Edward Stephen Kondak is Po Box 98, Greenport, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Stephen Kondak |
|---|---|
| Address | Po Box 98, Greenport, New York |
| Phone Number | 6314771177 |
| Fax Number | 6314771175 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1134324254 |
|---|---|
| Provider Enumeration Date | 2007-06-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 98 |
|---|---|
| City | Greenport |
| State | New York (NY) |
| Post Code | 119440098 |
| Phone Number | 6314771177 |
| Fax Number | 6314771175 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 35632 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 632866 | NC | -- | |
| 35632 | NY | LICENSE NUMBER |
Post Comment/ Review Below
What is the Edward Stephen Kondak's 1134324254?
The Edward Stephen Kondak's NPI (National Provider Identifier) Number is 1134324254. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Edward Stephen Kondak is geographically located?
The Edward Stephen Kondak is physically situated at the following location: Po Box 98, Greenport, NY, 119440098.
What is Edward Stephen Kondak's area of expertise and its corresponding taxonomy classification?
The Edward Stephen Kondak's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Edward Stephen Kondak receive the assignment of its 1134324254 from the Centers for Medicare & Medicaid Services?
The Edward Stephen Kondak was issued its 1134324254 by the Centers for Medicare & Medicaid Services on 2007-06-19.
When was the information related to Edward Stephen Kondak most recently updated or refreshed?
The details pertaining to the Edward Stephen Kondak, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.