Steven David Kresch, D.D.S.
Individual provider Active NPI Dentist · East Rockaway, NY
NPI 1104079284 · NPPES record last updated Nov 3, 2008
Key facts
- NPI
- 1104079284
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 035349 (NY)
- Practice address
- 359 Atlantic Ave
East Rockaway, NY 11518-1492 - Phone
- (516) 599-7500
- NPI assigned
- Nov 3, 2008
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035349 | NY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 035349 | NY | Yes |
Addresses
Primary practice location
359 Atlantic Ave
East Rockaway, NY 11518-1492
Mailing address
359 Atlantic Ave
East Rockaway, NY 11518-1492
Phone (516) 599-7500
Other providers in East Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.