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NPI Code Detail

MEDICARE: NY METRO DENTAL PC

MEDICARE: NY METRO DENTAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1033837315
Entity Type Code : Organization
Provider Name (Legal Business Name) : NY METRO DENTAL PC
Provider Business Mailing Address
First Line : 55 AVENUE C
Second Line :
City : NEW YORK
State : NY
Zip : 10009-6855
Country : US
Telephone Number : 212-673-3698
Fax Number :
Provider Business Practice Location Address
First Line : 55 AVENUE C
Second Line :
City : NEW YORK
State : NY
Zip : 10009-6855
Country : US
Telephone Number : 212-673-3698
Fax Number :
Authorized Official
Title or Position : RCM MANAGER
Name : CHRISTINE BRANIGAN
Credential :
Telephone Number : 631-696-0100
Provider Enumeration Date : 08/22/2022
Last Update Date : 01/03/2023

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Directions to “NY METRO DENTAL PC ” Practice Location

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