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1376004887 NPI number — MANHATTAN DENTAL CARE PLLC

NPI Number: 1376004887
Health Care Provider/Practitioner: MANHATTAN DENTAL CARE PLLC

Information about “1376004887” NPI (MANHATTAN DENTAL CARE PLLC) exists in 1376004887 in HTML format HTML  |  1376004887 in plain Text format TXT  |  1376004887 in PDF (Portable Document Format) PDF  |  1376004887 in an XML format XML  formats.

NPI Number : 1376004887 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1376004887",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "MANHATTAN DENTAL CARE PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5 COMMACK RD",
    "SecondLineMailingAddress": "2ND FL",
    "MailingAddressCityName": "COMMACK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11725",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "516-506-0000",
    "MailingAddressFaxNumber": "516-336-3664",
    "FirstLinePracticeLocationAddress": "250 E 63RD ST UNIT 1-A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW YORK",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "10065-7661",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "516-506-0000",
    "PracticeLocationAddressFaxNumber": "516-336-3664",
    "EnumerationDate": "03/27/2019",
    "LastUpdateDate": "03/11/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CHASE",
    "AuthorizedOfficialFirstName": "BARRY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "516-506-0000",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BC3200X",
          "TaxonomyName": "Customized Equipment (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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