Ethics Dental Ipa, Inc | |
600 W 146th St Gf New York NY 10031-4301 | |
(212) 368-9532 | |
(212) 368-2245 |
Full Name | Ethics Dental Ipa, Inc |
---|---|
Speciality | Dentist - General Practice |
Location | 600 W 146th St, New York, New York |
Authorized Official Name and Position | Libia R Jimenez (PRESIDENT) |
Authorized Official Contact | 2126689532 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ethics Dental Ipa, Inc 600 W 146th St Gf New York NY 10031-4301 Ph: (212) 368-9532 | Ethics Dental Ipa, Inc 600 W 146th St Gf New York NY 10031-4301 Ph: (212) 368-9532 |
NPI Number | 1144517525 |
---|---|
Provider Enumeration Date | 07/06/2011 |
Last Update Date | 07/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144517525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 045307-1 (New York) | Primary |
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