Jack A. Mailman, DDS, Leonard I. Flug, DDS, P.C.
Clinic/Center, Dental in Staten Island, NY. Organization (NPI-2).
NPI number1992724025
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992724025
- Entity type
- Organization (NPI-2)
- Legal business name
- Jack A. Mailman, DDS, Leonard I. Flug, DDS, P.C.
- Organization subpart
- No
- Enumeration date
- Jul 19, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | 027631 | NY | Yes |
Other names
- Drs. Mailman, Flug & Ozer (Doing Business As)
Practice location
1800 Richmond AveStaten Island, NY 10314-3902
Phone 718-761-1800 · Fax 718-761-6945
Mailing address
1800 Richmond AveStaten Island, NY 10314-3902
Phone 718-761-1800 · Fax 718-761-6945
Authorized official
Jack Alan Mailman
Secretary/Treasurer
7187611800
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