2Nd Avenue Tooth Doctor,Pc

LBN: 2Nd Avenue Tooth Doctor,Pc
2Nd Avenue Tooth Doctor,Pc is an health care organization with primary practice located at 1976 2Nd Ave , New York NY 10029. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 2Nd Avenue Tooth Doctor,Pc can be contacted via phone (212) 996-6269, or through Colon, Gina via phone (212) 996-6269.

Contact Information

Primary practice address
1976 2Nd Ave New York NY 10029
Phone: (212) 996-6269
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Colon, Gina
Phone: (212) 996-6269

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1538378633
LBN Legal business name 2Nd Avenue Tooth Doctor,Pc
DBA Doing business as
Authorized official Colon, Gina
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Jun 13th, 2008 - about 17 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 1538378633 NPPES
New York MEDICAID 02783984

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