St Marks Place Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

028630 Issued in NY

Legal business name

ST MARKS PLACE DENTISTRY PC

Practice address

1244 Dutch Broadway
Valley Stream, NY 11580-1513

Phone

(212) 475-8692

NPI assigned

Dec 11, 2007

Last updated

Dec 11, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. I Michael Postol, DDS

Title

President

Phone

(212) 475-8692

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1518140789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 SAINT MARKS PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038150",
            "telephone_number": "212-475-8692",
            "fax_number": "212-475-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 DUTCH BROADWAY",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801513",
            "telephone_number": "212-475-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARKS PLACE DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "POSTOL",
        "authorized_official_first_name": "I MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-475-8692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "028630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Spinello, PHARMD
• Christine Spoagis
• Sr Wellness Services Inc
• Poorna Sreenivas, OTR/L
• Shonda St Hillaire-Charles, SERVICE COORDINATOR
• Stacy St Phard
• Mira F. Staco, N.P.P. A.N.P.
• Marcus Richard Stamile
• Gerard T Standish, D.C.
• Star Healthcure LLC

• Dental Clinic/Center in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.