DR WALTER MAYBRUCH NPI 1639538903

NPI Information

NPI: 1639538903
Provider Name: DR WALTER MAYBRUCH
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
14432 68TH RD
FLUSHING, NY
ZIP 11367
Phone: (718) 263-8300
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DR WALTER MAYBRUCH is a dental clinic center in Flushing, NY. DR WALTER MAYBRUCH NPI is 1639538903. The provider is registered as an organization entity type.

The provider's business location address is:

14432 68TH RD
FLUSHING, NY
ZIP 11367-331
Phone: (718) 263-8300
Fax: (718) 263-3690

The provider's authorized official is Walter I Mybruch .
The authorized official title is Owner and has the following contact phone number (718) 263-8300.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	032530	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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