Maria Cristina Cristina David - Carrasco, DDS
Individual provider Active NPI General Practice Dentistry · Williston Park, NY
NPI 1619952835 · NPPES record last updated Oct 12, 2021
Key facts
- NPI
- 1619952835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0499771 (NY)
- Practice address
- 182 Hillside Ave
Williston Park, NY 11596 - Phone
- (516) 746-6251
- Fax
- (516) 746-5078
- NPI assigned
- Dec 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 0499771 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Distinctive Dental Services of New York PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0499771 | NY | Yes |
Addresses
Primary practice location
182 Hillside Ave
Williston Park, NY 11596
Mailing address
182 Hillside Ave
Williston Park, NY 11596
Phone (516) 746-6251
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02500049 | Medicaid | NY |
Other names
- Cristina David
Other providers in Williston Park, NY
- CVS Albany LLC
- Dayna D'Alessio
- Nicole D'Amico-Stonbraker
- Joseph Vincent D'Auria
- Nicole Dantuono
- Henri-Robert Delbeau
- Hope Delane Demertzis
- Joshua Diaz
- Teresa Rosa Diblasi
- Maria I Dominguez
All providers in Williston Park, NY · General Practice Dentistry 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 Oct 12, 2021. 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.