| Full Name | East Harlem Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 169 Park Ave, Yonkers, New York |
| Authorized Official Name and Position | David Kirshenbaum (PARTNER) |
| Authorized Official Contact | 9149653864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Harlem Dental 169 Park Ave Yonkers NY 10703 Ph: (914) 965-3864 | East Harlem Dental 169 Park Ave Yonkers NY 10703 Ph: (914) 965-3864 |
| NPI Number | 1164505871 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164505871 | NPI | - | NPPES |
| 01250453 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 039708 (New York) | Primary |
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