Elite Dental of Staten Island,pc

NPI #1043632318 in Staten Island, New York

Provider Information

NPI Number: 1043632318
Entity Type: Organization
Organization Name: Elite Dental of Staten Island,pc
Primary Specialty: Dentist
Enumeration Date: Jan 6, 2014
Last Updated: May 20, 2014

Practice Location

Address: 2291 VICTORY BLVD
City: Staten Island
State: New York
ZIP Code: 10314-6625
Phone: (718) 370-1200

Authorized Official

Name: DR. STEVEN R ACKER, DDS
Title: OWNER
Phone: (718) 370-1200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X
Dentist	122300000X	Primary

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