Provider Demographics
NPI:1881236214
Name:FAMILY DENTISTRY OF LYNBROOK PC
Entity type:Organization
Organization Name:FAMILY DENTISTRY OF LYNBROOK PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, FAGD, FICOI
Authorized Official - Phone:516-987-8557
Mailing Address - Street 1:95 SCRANTON AVE
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-2819
Mailing Address - Country:US
Mailing Address - Phone:516-599-0059
Mailing Address - Fax:516-599-2591
Practice Address - Street 1:95 SCRANTON AVE
Practice Address - Street 2:
Practice Address - City:LYNBROOK
Practice Address - State:NY
Practice Address - Zip Code:11563-2819
Practice Address - Country:US
Practice Address - Phone:516-599-0059
Practice Address - Fax:516-599-2591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental