MEDICARE: DR. LIMOR OPHIR-TSABARY D.D.S

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	049086	NY

General Provider Information

NPI Number	:	1457562514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LIMOR OPHIR-TSABARY D.D.S

Provider Business Mailing Address
First Line	:	1623 3RD AVE
Second Line	:	#12G
City	:	NEW YORK
State	:	NY
Zip	:	10128-3638
Country	:	US
Telephone Number	:	917-297-1838
Fax Number	:	212-860-7935

Provider Business Practice Location Address
First Line	:	12 E 37TH ST
Second Line	:	2ND FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10016-2823
Country	:	US
Telephone Number	:	646-709-9882
Fax Number	:	212-889-8891

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	07/08/2007

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