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NPI Code Detail

MEDICARE: DR. HOWARD A FINE DMD

MEDICARE: DR. HOWARD A FINE DMD
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
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry040793-1NY

General Provider Information

NPI Number : 1477644532
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOWARD A FINE DMD
Provider Business Mailing Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-666-8997
Fax Number : 914-666-5032
Provider Business Practice Location Address
First Line : 91 SMITH AVE
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-2810
Country : US
Telephone Number : 914-666-8997
Fax Number : 914-666-5032
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2006
Last Update Date : 07/08/2007

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