LILLIAN KELNER DDS PC (NPI# 1699898072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699898072 |
| Entity Type | Organization |
| Organization Name | LILLIAN KELNER DDS PC |
| Practice Address |
430 Seaview Ave Staten Island NY 10305-3401 |
| Practice Telephone | 7189800844 |
| Mailing Telephone | 7189800844 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. LILLIAN KELNER (DENTIST) |
| Authorized Official Telephone | 7189800844 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
261QD0000X | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02145811 | 05 | |
| NY | NPI PERSONAL | 1664405411 | 01 |
| Street Address |
430 SEAVIEW AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245871029 | Nu Dental PC | Clinic/Center | 76 Pond St, Staten Island, NY 10309-1797 | 2019-10-03 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1639619208 | Clove Lakes Family Dental Pllc | Clinic/Center | 1140 Victory Blvd, Suite 1, Staten Island, NY 10301-3673 | 2017-03-02 |
| 1992724025 | Jack A. Mailman, Dds, Leonard I. Flug, Dds, P.C. | Clinic/Center | 1800 Richmond Ave, Staten Island, NY 10314-3902 | 2006-07-19 |
| 1871564054 | Sujatha H De Silva Dds PC | Clinic/Center | 973 Targee Street, Staten Island, NY 10304 | 2006-01-27 |
| 1508856501 | Chainani Ashok Nanikram Bds,pc | Clinic/Center | 253 Broad St, Staten Island, NY 10304-2042 | 2005-10-21 |
| 1508339979 | Daniel Kaye | Clinic/Center | 3595 Richmond Ave, Staten Island, NY 10312-3410 | 2019-01-08 |
| 1346741337 | Kopyoff Dental Art PC | Clinic/Center | 4222 Hylan Blvd, Staten Island, NY 10308-3360 | 2018-02-24 |
| 1013423490 | Smiles Forever Dental PC | Clinic/Center | 4255 Amboy Rd, Staten Island, NY 10308-2308 | 2017-12-20 |
| 1952814998 | No Tears Dental PC | Clinic/Center | 475 Saint Marks Pl, Staten Island, NY 10301-2408 | 2017-11-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
Please comment or provide details below to improve the information on LILLIAN KELNER DDS PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.