| East Harlem Community Dental | |
|
2022 Lexington Ave Ground Floor New York NY 10035-2225 | |
| (212) 987-0777 | |
| Not Available |
| Full Name | East Harlem Community Dental |
|---|---|
| Speciality | Dentist |
| Location | 2022 Lexington Ave, New York, New York |
| Authorized Official Name and Position | Marina Shraga (PRESIDENT) |
| Authorized Official Contact | 9177977272 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Harlem Community Dental 2022 Lexington Ave Ground Floor New York NY 10035-2225 Ph: (212) 987-0777 | East Harlem Community Dental 2022 Lexington Ave Ground Floor New York NY 10035-2225 Ph: (212) 987-0777 |
| NPI Number | 1013287598 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 01/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013287598 | NPI | - | NPPES |
| 02721117 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 052174 (New York) | Primary |
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