33D2185202 CLIA NUMBER - BRIAN M RASKIN DDS DBA ADVANCED DDS

Laboratory Demographics

CLIA Number: 33D2185202

Facility Name: BRIAN M RASKIN DDS DBA ADVANCED DDS

Facility Address:
200 GARDEN CITY PLAZA SUITE 101
GARDEN CITY, NY
ZIP 11530
Get Directions

Facility Phone Number: 516 825-1100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255431292

Taxonomy: 1223G0001X - Dentist
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.

CLIA Record

Field Name	Field Value
CLIA Number	33D2185202
LAB Type	Physician Office
Facility Name	BRIAN M RASKIN DDS DBA ADVANCED DDS
Street	200 GARDEN CITY PLAZA SUITE 101
City	GARDEN CITY
State	NY
ZIP	11530
Phone	516 825-1100
CertificateType	4
CertificateEffectiveDate	6/1/2022
CertificateExpirationDate	5/31/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024