Dr. Edly Destine is a Mount Vernon, New York based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Edly Destine is 057473 for General Practice Dentistry in New York. His current practice location is 88 W Lincoln Ave Ste 102, Mount Vernon. Patients can reach him at 146-996-9889.
Dr. Edly Destine is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Edly Destine speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Edly Destine
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
88 W Lincoln Ave Ste 102, Mount Vernon, New York, 10550-1181
Phone:
146-996-9889
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1326387341
NPI Enumeration Date:
11 Feb, 2013
NPI Last Update On:
09 Nov, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Edly Destine are as mentioned below.
License Number
Specialization
State
Status
057473
General Practice Dentistry
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Edly Destine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
04140667
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
88 W Lincoln Ave Ste 102, Mount Vernon, New York
Zip:
10550-1181
Phone Number:
914-699-6988
Patients can reach Dr. Edly Destine at 88 W Lincoln Ave Ste 102, Mount Vernon, New York or can call to book an appointment on 146-996-9889. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.