| Coop Citydental Associates Pllc | |
|
2063b Bartow Ave Bronx NY 10475-4613 | |
| (718) 379-4734 | |
| (718) 379-6487 |
| Full Name | Coop Citydental Associates Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2063b Bartow Ave, Bronx, New York |
| Authorized Official Name and Position | Farzin Farokhzadeh (DENTIST/OWNER) |
| Authorized Official Contact | 6462327067 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coop Citydental Associates Pllc 2063b Bartow Ave Bronx NY 10475-4613 Ph: (718) 379-4734 | Coop Citydental Associates Pllc 2063b Bartow Ave Bronx NY 10475-4613 Ph: (718) 379-4734 |
| NPI Number | 1003400805 |
|---|---|
| Provider Enumeration Date | 02/23/2021 |
| Last Update Date | 02/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003400805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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