125 St. Braces

LBN: 125Th St. Dental Group, Pllc
125 St. Braces is an health care organization with primary practice located at 63 W 125Th St 2Nd Floor, New York NY 10027-4512. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. 125Th St. Dental Group, Pllc can be contacted via phone (646) 505-8852, or through Kuncio, Daniel via phone (646) 505-8852.

Contact Information

Primary practice address
63 W 125Th St 2Nd Floor New York NY 10027-4512
Phone: (646) 505-8852
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kuncio, Daniel Doctor of Dental Surgery (DDS)
Phone: (646) 505-8852

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 051019 New York

Profile Details

NPI number 1134561137
LBN Legal business name 125Th St. Dental Group, Pllc
DBA Doing business as 125 St. Braces
Authorized official Kuncio, Daniel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2013
Last updated Jul 19th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134561137 NPPES
New York MEDICAID 03047216
New York MEDICAID 03422386
New York MEDICAID 01644504

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