Provider Demographics
NPI:1710143151
Name:DR. ARCADY SNIPER GENERAL DENTISTRY P.C.
Entity Type:Organization
Organization Name:DR. ARCADY SNIPER GENERAL DENTISTRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ARCADY
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-648-0203
Mailing Address - Street 1:2316 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4917
Mailing Address - Country:US
Mailing Address - Phone:718-648-0203
Mailing Address - Fax:
Practice Address - Street 1:2316 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4917
Practice Address - Country:US
Practice Address - Phone:718-648-0203
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0383061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00825329Medicaid