Blanca E Navarro, DDS
Individual provider Active NPI Prosthodontics · Centerport, NY
NPI 1376795906 · NPPES record last updated Jul 25, 2016
Key facts
- NPI
- 1376795906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- 053890 (NY)
- Practice address
- 200 Old Field Rd
Centerport, NY 11721-1726 - Phone
- (917) 499-8128
- NPI assigned
- Oct 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 053890 | NY | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 053890 | NY | Yes |
Addresses
Primary practice location
200 Old Field Rd
Centerport, NY 11721-1726
Mailing address
200 Old Field Rd
Centerport, NY 11721-1726
Phone (917) 499-8128
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All providers in Centerport, NY · Prosthodontics in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 25, 2016. 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.