Provider Demographics
NPI:1831211713
Name:CORBIN FAMILY DENTAL ARTS TOO LLP
Entity type:Organization
Organization Name:CORBIN FAMILY DENTAL ARTS TOO LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL BILLER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAWANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MAZYCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-469-1900
Mailing Address - Street 1:7338 BELL BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-2930
Mailing Address - Country:US
Mailing Address - Phone:718-468-1900
Mailing Address - Fax:718-468-1989
Practice Address - Street 1:7338 BELL BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11364-2930
Practice Address - Country:US
Practice Address - Phone:718-468-1900
Practice Address - Fax:718-468-1989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty