NPI: 1457947525 · NEW HARTFORD, NY 13413 · Dental Clinic/Center · NPI assigned 12/14/2020
| Authorized Official | MICARONI, PATRICK (PRESIDENT) |
| NPI Enumeration Date | 12/14/2020 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 12 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7961 | 12 | 12 | $2K |