| 28th And Madison Llc | |
|
76 Madison Ave New York NY 10016-8724 | |
| (646) 770-2091 | |
| Not Available |
| Full Name | 28th And Madison Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 76 Madison Ave, New York, New York |
| Authorized Official Name and Position | Courtney Audra Schiefelbeiin (OWNER) |
| Authorized Official Contact | 6467702091 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 28th And Madison Llc 212 W 18th St Apt 9f New York NY 10011-4554 Ph: (708) 307-3822 | 28th And Madison Llc 76 Madison Ave New York NY 10016-8724 Ph: (646) 770-2091 |
| NPI Number | 1194332932 |
|---|---|
| Provider Enumeration Date | 09/25/2020 |
| Last Update Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194332932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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