| Coliseum Dental | |
|
1841 Broadway Suite 609 New York NY 10023-7603 | |
| (212) 757-3183 | |
| Not Available |
| Full Name | Coliseum Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1841 Broadway, New York, New York |
| Authorized Official Name and Position | Maia Berger (DENTIST) |
| Authorized Official Contact | 2127573183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coliseum Dental 1841 Broadway Suite 609 New York NY 10023-7603 Ph: (212) 757-3183 | Coliseum Dental 1841 Broadway Suite 609 New York NY 10023-7603 Ph: (212) 757-3183 |
| NPI Number | 1093122517 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093122517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 051386 (New York) | Primary |
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