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
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.