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CORRECTIONAL DENTAL ASSOCIATES OF NEW YORK
NPI 1609210178
Dentist - General Practice in Astoria, NY

Active since April 26, 2013
4904 19TH AVE, ASTORIA, NY 11105(347) 774-7800(718) 777-7820 Get Directions Write a Review

NPPES record last updated: April 26, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Correctional Dental Associates Of New York NPPES

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

CORRECTIONAL DENTAL ASSOCIATES OF NEW YORK (NPI 1609210178) is a healthcare organization registered as a general practice in Astoria, New York and active in the NPI registry since April 2013. The organization lists Leslie Ambrose Hayling, President, as its authorized official.

NPPES Registry Identity

NPI1609210178
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCORRECTIONAL DENTAL ASSOCIATES OF NEW YORK
Location Address4904 19TH AVEAstoria, NY 11105-1002
Mailing Address4904 19th AveAstoria, NY 11105-1002 · (347) 774-7800 · Fax (718) 777-7820
Phone(347) 774-7800
Fax(718) 777-7820
Organization SubpartNo
Authorized OfficialLeslie Ambrose HaylingPresident · (347) 774-7800
Enumeration DateApril 26, 2013
✔ NPI 1609210178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 051827-1
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4904 19TH AVE, Astoria, NY 11105
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

DR. ACHIM HUGGINS M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
MR. SAIDU JIMOH RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
JORGE VILLALOBOS RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. BRENDA HARRIS M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. TREVOR PARKS M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. ADRIANA VIVES M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. FRANTZ MEDARD M.D
Family Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
SCOTT PARKS RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
MS. ALICIA NICHOLLS RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. ANDREW KOUKOULAS DDS
Dentist
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
ARLIE MASSILLON RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
CAROLE COMAS M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
AZMAT HASAN M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
CHIKA NWOGWUGWU RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DANIEL ASHITEY
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
DR. PRAVIN RANJAN M.D
Internal Medicine
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
CHARLES APPIAH RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
SANDRA MCEACHRANCE DDS
Dentist
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
MR. JOHN BOSWORTH RPA
Physician Assistant (Medical)
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494
FRANTZ NICOLAS RPA
Physician Assistant
4904 19TH AVE
ASTORIA, NY 11105
Queens County (718) 777-3494

Frequently Asked Questions

What is CORRECTIONAL DENTAL ASSOCIATES OF NEW YORK's NPI number?

The NPI number assigned to this healthcare provider is 1609210178, enumerated as an "organization" on April 26, 2013.

Where is the provider located?

The provider is located at 4904 19TH AVE ASTORIA, NY 11105 and the phone number is (347) 774-7800.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.