| Bimc Faculty Practice | |
|
10 Union Sq E Suite 5b New York NY 10003-3314 | |
| (212) 844-6852 | |
| Not Available |
| Full Name | Bimc Faculty Practice |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 10 Union Sq E, New York, New York |
| Authorized Official Name and Position | Deborah Hackett (VP) |
| Authorized Official Contact | 2122563424 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bimc Faculty Practice 160 Water St 20th Floor New York NY 10038-4922 Ph: (212) 844-6852 | Bimc Faculty Practice 10 Union Sq E Suite 5b New York NY 10003-3314 Ph: (212) 844-6852 |
| NPI Number | 1205102571 |
|---|---|
| Provider Enumeration Date | 03/30/2012 |
| Last Update Date | 03/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205102571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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