Healthcare Provider Details

I. General information

NPI: 1326890609
Provider Name (Legal Business Name): DENTIQUE NYC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 04/02/2024
Certification Date: 04/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

274 MADISON AVE RM 1702
NEW YORK NY
10016-0716
US

IV. Provider business mailing address

274 MADISON AVE RM 1702
NEW YORK NY
10016-0716
US

V. Phone/Fax

Practice location:
  • Phone: 718-679-2757
  • Fax:
Mailing address:
  • Phone: 718-679-2757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. KARINA ZAYGERMAKER
Title or Position: DOCTOR
Credential: DDS
Phone: 212-889-8870