Healthcare Provider Details

I. General information

NPI: 1609970052
Provider Name (Legal Business Name): VALERIE LINDENFELD DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4555 HENRY HUDSON PKWY #105
BRONX NY
10471
US

IV. Provider business mailing address

4555 HENRY HUDSON PKWY #105
BRONX NY
10471
US

V. Phone/Fax

Practice location:
  • Phone: 718-796-0009
  • Fax: 718-549-2750
Mailing address:
  • Phone: 718-796-0009
  • Fax: 718-549-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number037113
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: