MEDICARE: SMILES ON THE HUDSON 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
1	122300000X	Dentist

General Provider Information

NPI Number	:	1548815657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SMILES ON THE HUDSON PC

Provider Business Mailing Address
First Line	:	1115 BRIAR WAY
Second Line	:
City	:	FORT LEE
State	:	NJ
Zip	:	07024-6311
Country	:	US
Telephone Number	:	201-328-7059
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 RIVER RD STE 104
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1002
Country	:	US
Telephone Number	:	201-941-0088
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	ANNA ROZENBLAT
Credential	:
Telephone Number	:	201-328-7059

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	08/06/2019

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1497552848 — MRS. CARINA GARCIA TORRADO LCSW
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Directions to “SMILES ON THE HUDSON PC ” Practice Location

Language	Start Address	Practice Location

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