Healthcare Provider Details

I. General information

NPI: 1306468129
Provider Name (Legal Business Name): LAURA RHEIN ATKINSON DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2020
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 E 78TH ST FL 5
NEW YORK NY
10075-1216
US

IV. Provider business mailing address

261 E 78TH ST FL 5
NEW YORK NY
10075-1216
US

V. Phone/Fax

Practice location:
  • Phone: 646-864-1808
  • Fax: 646-998-4053
Mailing address:
  • Phone: 646-864-1808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number062245
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: