Ben N Antonecchia, DDS
Individual provider Active NPI General Practice Dentistry · Nanuet, NY
NPI 1730293226 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730293226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 033530 (NY)
- Practice address
- 23 Bridge Rd
Nanuet, NY 10954-3755 - Phone
- (845) 627-7537
- NPI assigned
- Aug 19, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 033530 | NY | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 033530 | NY | Yes |
Addresses
Primary practice location
23 Bridge Rd
Nanuet, NY 10954-3755
Mailing address
23 Bridge Rd
Nanuet, NY 10954-3755
Phone (845) 627-7537
Other providers in Nanuet, NY
- Amken Orthopedics, Inc.
- Jeanine M Andryuk
- Ashley Anselmo
- Carschena Antione
- Barbara Antoine
- Emelie Antonio
- Solimma Antony
- Apm Specialists, LLC
- Anastasia Appiah
- Taryn Appiah
All providers in Nanuet, 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 Jul 8, 2007. 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.