| Broadway Cosmetic Dentistry, P.c. | |
|
128 South Broadway Tarrytown NY 10591 | |
| (914) 631-5222 | |
| Not Available |
| Full Name | Broadway Cosmetic Dentistry, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 128 South Broadway, Tarrytown, New York |
| Authorized Official Name and Position | Rohit Z Patel (OWNER) |
| Authorized Official Contact | 9146681722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadway Cosmetic Dentistry, P.c. 128 South Broadway Tarrytown NY 10591 Ph: (914) 631-5222 | Broadway Cosmetic Dentistry, P.c. 128 South Broadway Tarrytown NY 10591 Ph: (914) 631-5222 |
| NPI Number | 1881188738 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 06/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881188738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 033448 (New York) | Primary |
| 1223E0200X | Dentist - Endodontics | 033448 (New York) | Secondary |
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