Healthcare Provider Details

I. General information

NPI: 1801702659
Provider Name (Legal Business Name): TRIBECA ENDODONTICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BROADWAY RM 803
NEW YORK NY
10006-1957
US

IV. Provider business mailing address

111 BROADWAY RM 803
NEW YORK NY
10006-1957
US

V. Phone/Fax

Practice location:
  • Phone: 646-454-9997
  • Fax: 646-478-9769
Mailing address:
  • Phone: 646-454-9997
  • Fax: 646-478-9769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number
License Number State

VIII. Authorized Official

Name: CHANELLE HILL-ABELARD
Title or Position: PRACTICE MANAGER
Credential:
Phone: 917-439-3460