| New York Dental Alliance | |
|
1400 Pelham Pkwy S Bronx NY 10461-1138 | |
| (718) 918-7259 | |
| (718) 918-4469 |
| Full Name | New York Dental Alliance |
|---|---|
| Speciality | Dentist |
| Location | 1400 Pelham Pkwy S, Bronx, New York |
| Authorized Official Name and Position | William Ungar (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7189187259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Dental Alliance 1400 Pelham Pkwy S Bronx NY 10461-1138 Ph: (718) 918-7259 | New York Dental Alliance 1400 Pelham Pkwy S Bronx NY 10461-1138 Ph: (718) 918-7259 |
| NPI Number | 1316143225 |
|---|---|
| Provider Enumeration Date | 06/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316143225 | NPI | - | NPPES |
| 02834522 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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