Morris Chimon, DDS

Individual provider Active NPI General Practice Dentistry · Albertson, NY

NPI 1497849228 · NPPES record last updated Mar 20, 2018

Key facts

NPI
1497849228
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
035250-1 (NY)
Practice address
810 Willis Avenue
Albertson, NY 11507
Phone
(516) 877-2737
Fax
(516) 877-2946
NPI assigned
Oct 3, 2006
Sex
Male
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

LicenseStateTypeSpecialty
035250-1NYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 035250-1 NY Yes

Addresses

Primary practice location

810 Willis Avenue
Albertson, NY 11507

Mailing address

810 Willis Avenue
Albertson, NY 11507
Phone (516) 877-2737

Other providers in Albertson, NY

All providers in Albertson, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.