MEDICARE: NEW HEIGHTS DENTAL OFFICE P C

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
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1033860663
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HEIGHTS DENTAL OFFICE P C

Provider Business Mailing Address
First Line	:	436 FORT WASHINGTON AVE APT 1B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-3533
Country	:	US
Telephone Number	:	212-923-6280
Fax Number	:	212-568-8190

Provider Business Practice Location Address
First Line	:	436 FORT WASHINGTON AVE APT 1B
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10033-3533
Country	:	US
Telephone Number	:	212-923-6280
Fax Number	:	212-568-8190

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EVA LEBRON
Credential	:	DDS
Telephone Number	:	212-923-6280

Provider Enumeration Date	:	01/14/2022
Last Update Date	:	04/16/2025

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Directions to “NEW HEIGHTS DENTAL OFFICE P C ” Practice Location

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