Hugh M Musof, DMD

Individual provider Active NPI General Practice Dentistry · E Setauket, NY

NPI 1922196153 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1922196153
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
23867 (NY)
Practice address
210 Main St
E Setauket, NY 11733
Phone
(631) 941-3848
Fax
(631) 941-3906
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
23867NYMDCommunity/Behavioral Health Agency

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23867 NY Yes

Addresses

Primary practice location

210 Main St
E Setauket, NY 11733

Mailing address

210 Main St
E Setauket, NY 11733
Phone (631) 941-3848

Other providers in E Setauket, NY

All providers in E Setauket, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.