Pavel Niderman D.D.S Atlantic Dental
LBN: Pavel Niderman D.D.S Atlantic Dental
Pavel Niderman D.D.S Atlantic Dental is an health care organization with primary practice located at 2060 Lexington Ave Frnt 2 , New York NY 10035-1759. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty.
Pavel Niderman D.D.S Atlantic Dental can be contacted via phone (212) 996-5996, or through Niderman, Pavel via phone (212) 996-5996.
Contact Information
Primary practice address
2060 Lexington Ave Frnt 2
New York NY 10035-1759
Phone: (212) 996-5996
Fax: (212) 996-0030
Website:
Authorized official contact:
Name: Niderman, Pavel Doctor of Dental Surgery (DDS)
Phone: (212) 996-5996
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 044976 | New York |
| Dental Providers / General Practice | 1223G0001X | 044976 | New York |
| Dental Providers / Periodontics | 1223P0300X | 048519 | New York |
Profile Details
| NPI number | 1437372380 |
|---|---|
| LBN Legal business name | Pavel Niderman D.D.S Atlantic Dental |
| DBA Doing business as | |
| Authorized official | Niderman, Pavel Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Jul 20th, 2020 - about 4 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 | 1437372380 | NPPES |
| New York | MEDICAID | 02241298 |
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