MEDICARE: EAST SIDE ESDA INC D/B/A EAST SIDE DENTAL ARTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1760155444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EAST SIDE ESDA INC D/B/A EAST SIDE DENTAL ARTS

Provider Business Mailing Address
First Line	:	225 E 70TH ST STE 1E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5213
Country	:	US
Telephone Number	:	212-517-5940
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 E 70TH ST STE 1E
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10021-5213
Country	:	US
Telephone Number	:	212-517-5940
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MORDECAI MARC LIECHTUNG
Credential	:	DMD
Telephone Number	:	212-247-2330

Provider Enumeration Date	:	07/28/2021
Last Update Date	:	07/28/2021

Similar Medicare Providers

1881684793 — DR. PAUL H ROSEN DPM
Practice Location Address:

225 EAST 7OTH STREET , 1E
NYC, NY
10021-5213

Practice Phone: 212-517-4660
Practice Fax: 212-517-8124

1164078523 — DIRECT HOME PHYSICAL THERAPY & OCCUPATIONAL THERAPY, PLLC
Practice Location Address:

93 4TH AVE # 1421
NEW YORK, NY
10003-5213

Practice Phone: 212-301-0540
Practice Fax:

1780275198 — PAIGE MANDEL MS, RD
Practice Location Address:

300 E 34TH ST APT 15G
NEW YORK, NY
10016-5213

Practice Phone: 516-712-0720
Practice Fax:

1306575873 — SCOTT ANDREW WILL LMSW
Practice Location Address:

940 SAINT NICHOLAS AVE APT 5E
NEW YORK, NY
10032-5213

Practice Phone: 347-974-1191
Practice Fax:

1750091468 — SKY YOUNG
Practice Location Address:

93 4TH AVE # 85
NEW YORK, NY
10003-5213

Practice Phone: 929-600-2234
Practice Fax:

1134817018 — SHARON R RUBIN LCSW
Practice Location Address:

93 4TH AVE UNIT 491
NEW YORK, NY
10003-5213

Practice Phone: 917-859-4044
Practice Fax:

Directions to “EAST SIDE ESDA INC D/B/A EAST SIDE DENTAL ARTS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.