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:
Map and Directions
Authorized official contact:
Name: Shah, Haresh I Doctor of Dental Surgery (DDS)
Phone: (914) 664-5342

Health care specialties

SpecialtyCodeLicense #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 16 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 1356580914 NPPES
New York MEDICAID 00729819

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