What is SMILE NEW YORK OUTREACH LLC's NPI number?

The NPI number assigned to this healthcare provider is 1063794618, enumerated as a organization on September 9, 2011.

Where is the provider located?

The provider is located at 3100 47TH AVE LONG ISLAND CITY, NY 11101 and the phone number is (718) 361-6160.

What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

SMILE NEW YORK OUTREACH LLC - NPI 1063794618 - Clinic/Center in Long Island City, NY

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About Smile New York Outreach Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SMILE NEW YORK OUTREACH LLC (NPI 1063794618) is a healthcare organization registered as a dental in Long Island City, New York and active in the NPI registry since September 2011. The organization lists Elliot Paul Schlang, Dental Director, as its authorized official.

NPPES Registry Identity

NPI1063794618

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameSMILE NEW YORK OUTREACH LLC

Location Address3100 47TH AVELong Island City, NY 11101-3013

Mailing Address3100 47th AveLong Island City, NY 11101-3013 · (718) 361-6160 · Fax (718) 361-1660

Phone(718) 361-6160

Fax(718) 361-1660

Organization SubpartNo

Authorized OfficialElliot Paul SchlangDental Director · (888) 833-8441

Enumeration DateSeptember 9, 2011

Last NPPES UpdateSeptember 19, 2011

✔ NPI 1063794618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

License✔ Licensed in NY · 7003272R

3100 47TH AVE, Long Island City, NY 11101

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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