Healthcare Provider Details

I. General information

NPI: 1457276982
Provider Name (Legal Business Name): ALL SEASONS DENTAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W 34TH ST RM 1203
NEW YORK NY
10001-2127
US

IV. Provider business mailing address

110 W 34TH ST RM 1203
NEW YORK NY
10001-2127
US

V. Phone/Fax

Practice location:
  • Phone: 212-947-6418
  • Fax:
Mailing address:
  • Phone: 212-947-6418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. CRISPIN Z AYROSO, JR.
Title or Position: OWNER/PRESIDENT
Credential: DENTIST
Phone: 516-378-1780