Bruce Harold Niedle in Staten Island - General Practice

Bruce Harold Niedle - NPI 1790780559

Bruce Harold Niedle is a General Practice in Staten Island, New York. Bruce Harold Niedle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce Harold Niedle is 1790780559. The last update date is 2010-04-21.

Bruce Harold Niedle's current location address is 460 Windham Loop, Staten Island, New York. You can contact this provider via phone number 7184941144 and fax number 7184945919. The mailing address for Bruce Harold Niedle is 460 Windham Loop, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Bruce Harold Niedle
Address 460 Windham Loop, Staten Island, New York
Phone Number 7184941144
Fax Number 7184945919
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1790780559
Provider Enumeration Date 2005-06-17
Last Updated Date 2010-04-21

Provider Mailing Address Detail

Address 460 Windham Loop
City Staten Island
State New York (NY)
Post Code 1031478340
Phone Number 7184941144
Fax Number 7184945919

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 26034
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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FAQs about Bruce Harold Niedle

What is the Bruce Harold Niedle's 1790780559?

The Bruce Harold Niedle's NPI (National Provider Identifier) Number is 1790780559. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Bruce Harold Niedle is physically located?

The Bruce Harold Niedle is physically situated at the following address: 460 Windham Loop, Staten Island, NY, 1031478340.

What is Bruce Harold Niedle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Bruce Harold Niedle is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Bruce Harold Niedle receive its 1790780559 assignment from the Centers for Medicare & Medicaid Services?

The Bruce Harold Niedle was assigned its 1790780559 by the Centers for Medicare & Medicaid Services on 2005-06-17.

When was the information regarding Bruce Harold Niedle, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Bruce Harold Niedle, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-04-21.

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