Correctional Dental Associates of New York

NPI #1609210178 in Astoria, New York

Provider Information

NPI Number: 1609210178
Entity Type: Organization
Organization Name: Correctional Dental Associates of New York
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 26, 2013
Last Updated: Apr 26, 2013

Practice Location

Address: 4904 19TH AVE
City: Astoria
State: New York
ZIP Code: 11105-1002
Phone: (347) 774-7800

Authorized Official

Name: DR. LESLIE AMBROSE HAYLING JR., D.D.S.
Title: PRESIDENT
Phone: (347) 774-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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