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99-04 57th Avenue, Inc. — NPI 1679977680, Corona, NY | NPI Central

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OrganizationActive

99-04 57th Avenue, Inc.

NPI 1679977680 · Dental Clinic/Center · Corona, NY

Provider details

NPI number: 1679977680
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Maria Acebo, Owner
License: 0438701 (NY)

Practice location

9904 57th Ave

Suite Lh

Corona, NY 11368-3746

Phone: (718) 760-0471

Fax: (718) 760-4739

More NY providers

Mailing address

9904 57th Ave

Corona, NY 11368-3746

Registry dates

Enumerated: 2014-10-20
Last updated: 2014-10-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.