Healthcare Provider Details

I. General information

NPI: 1295537546
Provider Name (Legal Business Name): HIGHLINE DENTISTRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 W 57TH ST STE 1419
NEW YORK NY
10019-2401
US

IV. Provider business mailing address

119 W 57TH ST STE 1419
NEW YORK NY
10019-2401
US

V. Phone/Fax

Practice location:
  • Phone: 646-256-0593
  • Fax:
Mailing address:
  • Phone: 212-757-5749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TEMA SUZANNE STARKMAN
Title or Position: OWNER
Credential: DDS
Phone: 917-881-4706