4Th Avenue Dental Pc
LBN: 4Th Avenue Dental Pc
4Th Avenue Dental Pc is an health care organization with primary practice located at 157 S 4Th Ave , Mount Vernon NY 10550-3106. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
4Th Avenue Dental Pc can be contacted via phone (914) 664-5342, or through Shah, Haresh I via phone (914) 664-5342.
Contact Information
Primary practice address
157 S 4Th Ave
Mount Vernon NY 10550-3106
Phone: (914) 664-5342
Fax: (718) 275-3049
Website:
Authorized official contact:
Name: Shah, Haresh I Doctor of Dental Surgery (DDS)
Phone: (914) 664-5342
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 036630 | New York |
Profile Details
| NPI number | 1356580914 |
|---|---|
| LBN Legal business name | 4Th Avenue Dental Pc |
| DBA Doing business as | |
| Authorized official | Shah, Haresh I Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2009 |
| Last updated | Feb 5th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356580914 | NPPES |
| New York | MEDICAID | 00729819 |
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