Healthcare Provider Details

I. General information

NPI: 1770795569
Provider Name (Legal Business Name): DR. SILVIA BEDIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 A WEST 72ND ST
NEW YORK NY
10023
US

IV. Provider business mailing address

105 LEXINGTON AVE APT. 9C
NEW YORK NY
10016-8963
US

V. Phone/Fax

Practice location:
  • Phone: 212-362-4872
  • Fax:
Mailing address:
  • Phone: 212-532-0523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number051479
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: