Healthcare Provider Details

I. General information

NPI: 1831058064
Provider Name (Legal Business Name): A TO Z ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

264 WATER ST APT M1
NEW YORK NY
10038-1760
US

IV. Provider business mailing address

264 WATER ST APT M1
NEW YORK NY
10038-1760
US

V. Phone/Fax

Practice location:
  • Phone: 585-764-9006
  • Fax:
Mailing address:
  • Phone: 917-830-9638
  • Fax: 917-932-2944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ALBERTO BORDONABA
Title or Position: ORTHODONTIST
Credential: DDS, MS
Phone: 917-830-9638