Healthcare Provider Details

I. General information

NPI: 1679582324
Provider Name (Legal Business Name): FURINO & HAMLIN ORTHODONTICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARIS RD
NEW HARTFORD NY
13413-2350
US

IV. Provider business mailing address

1 PARIS RD
NEW HARTFORD NY
13413-2350
US

V. Phone/Fax

Practice location:
  • Phone: 315-724-5800
  • Fax: 315-724-0062
Mailing address:
  • Phone: 315-724-5800
  • Fax: 315-724-0062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number0390731
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number0365001
License Number StateNY

VIII. Authorized Official

Name: DR. ANTHONY J FURINO
Title or Position: PRESIDENT
Credential: DDS MSD
Phone: 315-724-5800