125Th Street Orthodontics, Pc

LBN: 125Th Street Orthodontics, Pc
125Th Street Orthodontics, Pc is an health care organization with primary practice located at 360 W 125Th St Suite 8, New York NY 10027-4801. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. 125Th Street Orthodontics, Pc can be contacted via phone (646) 221-8944, or through Cooperman, Kenneth Bruce via phone (646) 221-8944.

Contact Information

Primary practice address
360 W 125Th St Suite 8 New York NY 10027-4801
Phone: (646) 221-8944
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cooperman, Kenneth Bruce Doctor of Dental Medicine (DMD)
Phone: (646) 221-8944

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 046957 New York

Profile Details

NPI number 1992127765
LBN Legal business name 125Th Street Orthodontics, Pc
DBA Doing business as
Authorized official Cooperman, Kenneth Bruce Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 14th, 2014
Last updated Jan 14th, 2014 - about 10 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 1992127765 NPPES
New York MEDICAID 02207707

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