| Community Dental Care Of Nyc Pllc | |
|
47 E 167th St Bronx NY 10452-8206 | |
| (718) 293-1603 | |
| (718) 293-1602 |
| Full Name | Community Dental Care Of Nyc Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 47 E 167th St, Bronx, New York |
| Authorized Official Name and Position | Andrew Sarowitz (MEMBER / MANAGER) |
| Authorized Official Contact | 7182931603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Dental Care Of Nyc Pllc 47 E 167th St Bronx NY 10452-8206 Ph: (718) 293-1603 | Community Dental Care Of Nyc Pllc 47 E 167th St Bronx NY 10452-8206 Ph: (718) 293-1603 |
| NPI Number | 1316285711 |
|---|---|
| Provider Enumeration Date | 01/21/2013 |
| Last Update Date | 03/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316285711 | NPI | - | NPPES |
| 01380441 | Medicaid | NY | |
| 03406939 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 055136 (New York) | Primary |
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