Bronx Oral Surgery, Pc

LBN: Bronx Oral Surgery, Pc
Bronx Oral Surgery, Pc is an health care organization with primary practice located at 355 E 149Th St Rm 206 , Bronx NY 10455-3909. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Bronx Oral Surgery, Pc can be contacted via phone (718) 292-7117, or through Friedman, Jerald Steven via phone (718) 292-7117.

Contact Information

Primary practice address
355 E 149Th St Rm 206 Bronx NY 10455-3909
Fax: (718) 292-5105
Website:
Authorized official contact:
Name: Friedman, Jerald Steven Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1538551296
LBN Legal business name Bronx Oral Surgery, Pc
DBA Doing business as
Authorized official Friedman, Jerald Steven Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2015
Last updated Mar 4th, 2015 - about 9 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 1538551296 NPPES
New York MEDICAID 1659455194

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