| 30 Cps Dental, Pllc | |
|
30 Central Park S 9th Floor New York NY 10019-1628 | |
| (212) 319-5002 | |
| (212) 319-3064 |
| Full Name | 30 Cps Dental, Pllc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 30 Central Park S, New York, New York |
| Authorized Official Name and Position | Alain Roizen (OWNER) |
| Authorized Official Contact | 2123195002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 30 Cps Dental, Pllc 30 Central Park S 9th Floor New York NY 10019-1628 Ph: (212) 319-5002 | 30 Cps Dental, Pllc 30 Central Park S 9th Floor New York NY 10019-1628 Ph: (212) 319-5002 |
| NPI Number | 1902946833 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902946833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 032045-1 (New York) | Primary |
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