NO TEARS DENTAL PC (NPI# 1952814998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952814998 |
Entity Type | Organization |
Organization Name | NO TEARS DENTAL PC |
Other Organization Name | STATE FAMILY DENTAL CARE PC |
Practice Address |
475 Saint Marks Pl Staten Island NY 10301-2408 |
Mailing Address |
42 Giffords Ln Staten Island NY 10308-2014 |
Practice Telephone | 7182730225 |
Practice Fax Number | 7182730226 |
Mailing Telephone | 7185544299 |
Enumeration Date | 2017-11-13 |
Last Update Date | 2017-11-13 |
Authorized Official Name | DR. KONSTANTIN KISELEV (OWNER) |
Authorized Official Telephone | 7185544299 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
State Family Dental Care PC | Doing Business As Name - Organization |
Street Address |
475 SAINT MARKS PL |
City | STATEN ISLAND |
State | NY |
Zip Code | 10301-2408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144292160 | Sean B Diamond | Chiropractor | 475 Saint Marks Pl, Staten Island, NY 10301-2408 | 2006-02-03 |
1992951354 | Victory Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 475 Saint Marks Pl, Staten Island, NY 10301-2408 | 2008-08-16 |
1730266180 | Zabrina Lynn Stokes | Social Worker | 475 Saint Marks Pl, Staten Island, NY 10301-2408 | 2006-11-01 |
1285748145 | Diamond Chiropractic, PC | Chiropractor | 475 Saint Marks Pl, Staten Island, NY 10301-2408 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
Find all providers in zip 10301 |
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 |
1699898072 | Lillian Kelner Dds PC | Clinic/Center | 430 Seaview Ave, Staten Island, NY 10305-3401 | 2007-04-09 |
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 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10301 |
Please comment or provide details below to improve the information on NO TEARS DENTAL 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.