| 125th Street Orthodontics, Pc | |
|
360 W 125th St Suite 8 New York NY 10027-4801 | |
| (646) 221-8944 | |
| Not Available |
| Full Name | 125th Street Orthodontics, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 360 W 125th St, New York, New York |
| Authorized Official Name and Position | Kenneth Bruce Cooperman (SECRETARY) |
| Authorized Official Contact | 6462218944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 125th Street Orthodontics, Pc 789 W End Ave Apt.. 12-a New York NY 10025-5469 Ph: (646) 221-8944 | 125th Street Orthodontics, Pc 360 W 125th St Suite 8 New York NY 10027-4801 Ph: (646) 221-8944 |
| NPI Number | 1992127765 |
|---|---|
| Provider Enumeration Date | 01/14/2014 |
| Last Update Date | 01/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992127765 | NPI | - | NPPES |
| 02207707 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 046957 (New York) | Primary |
Officina Dental Of Betty Rondon Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 39 Sickles St # 1g, New York, NY 10040 Phone: 212-304-7986 | |
Park Avenue Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 935 Park Ave, Suite 102, New York, NY 10028 Phone: 212-452-2777 Fax: 212-452-3363 | |
Joshua Wolf Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 956 5th Ave Ste 2a, New York, NY 10075 Phone: 516-374-2830 Fax: 845-512-7023 | |
Binder & Connell, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 Central Park W, Suite 1-b, New York, NY 10023 Phone: 212-787-4966 Fax: 212-787-6211 | |
Cheng H. Tai D.d.s., M.s., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 41 E 57th St # 2008, New York, NY 10022 Phone: 212-751-5522 Fax: 212-319-1741 | |
Aaa Uptown Star Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 680 W 204th St Apt 1c, New York, NY 10034 Phone: 212-569-4652 Fax: 212-569-4644 | |
Worldwide Plaza Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 370 West 50th Street, New York, NY 10019 Phone: 212-333-2650 Fax: 212-333-5820 |