99-04 57TH AVENUE, INC.
NPI 1679977680
Clinic/Center - Dental in Corona, NY

Active since October 20, 2014
9904 57TH AVE, SUITE LH, CORONA, NY 11368(718) 760-0471(718) 760-4739 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 99-04 57th Avenue, Inc. NPPES

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

99-04 57TH AVENUE, INC. (NPI 1679977680) is a healthcare organization registered as a dental in Corona, New York and active in the NPI registry since October 2014. The organization lists Maria E Acebo, Owner, as its authorized official.

NPPES Registry Identity

NPI1679977680
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business Name99-04 57TH AVENUE, INC.
Location Address9904 57TH AVE, SUITE LHCorona, NY 11368-3746
Mailing Address9904 57th Ave, Suite LhCorona, NY 11368-3746 · (718) 760-0471
Fax(718) 760-4739
Organization SubpartNo
Authorized OfficialMaria E AceboOwner · (718) 760-0471
Enumeration DateOctober 20, 2014
NPI 1679977680 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 · 0438701
9904 57TH AVE, Corona, NY 11368

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
9904 57TH AVE, SUITE LH
CORONA, NY 11368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 99-04 57th Avenue, Inc.'s NPI number?

The NPI number for 99-04 57th Avenue, Inc. is 1679977680. It was assigned to this organization in the NPPES registry on October 20, 2014.

Where is 99-04 57th Avenue, Inc. located?

99-04 57th Avenue, Inc. is located at 9904 57th Ave Suite Lh, Corona, NY 11368. The listed phone number is (718) 760-0471.

What is 99-04 57th Avenue, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for 99-04 57th Avenue, Inc. was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.