| 156 5th Ave Dental Pllc | |
|
156 5th Ave Ste 900 New York NY 10010-7763 | |
| (917) 403-7806 | |
| Not Available |
| Full Name | 156 5th Ave Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 156 5th Ave Ste 900, New York, New York |
| Authorized Official Name and Position | Bridget Glazarov (OWNER) |
| Authorized Official Contact | 9174037806 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 156 5th Ave Dental Pllc 44 W 22nd St Apt 3 New York NY 10010-5859 Ph: (917) 403-7806 | 156 5th Ave Dental Pllc 156 5th Ave Ste 900 New York NY 10010-7763 Ph: (917) 403-7806 |
| NPI Number | 1972256469 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972256469 | NPI | - | NPPES |
| 1043767288 | Other | NY | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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