| East 19th Street Dental | |
|
118 E 19th St New York NY 10003-2127 | |
| (212) 979-6363 | |
| Not Available |
| Full Name | East 19th Street Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 118 E 19th St, New York, New York |
| Authorized Official Name and Position | David Janash (OWNER) |
| Authorized Official Contact | 9179154504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East 19th Street Dental 118 E 19th St New York NY 10003-2127 Ph: () - | East 19th Street Dental 118 E 19th St New York NY 10003-2127 Ph: (212) 979-6363 |
| NPI Number | 1740700582 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 05/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740700582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051610 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 051610 (New York) | Primary |
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