Empire State Dental Group Pc | |
350 Fifth Avenue Suite 5222 New York City NY 10118 | |
(212) 594-8060 | |
(212) 594-8936 |
Full Name | Empire State Dental Group Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 350 Fifth Avenue, New York City, New York |
Authorized Official Name and Position | Jeffrey J Marjolin (PRESIDENT) |
Authorized Official Contact | 2125948060 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Empire State Dental Group Pc 350 Fifth Avenue Suite 5222 New York City NY 10118 Ph: (212) 594-8060 | Empire State Dental Group Pc 350 Fifth Avenue Suite 5222 New York City NY 10118 Ph: (212) 594-8060 |
NPI Number | 1427183516 |
---|---|
Provider Enumeration Date | 02/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427183516 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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