| Eastside Dental Medicine | |
|
595 Madison Ave Fl 27 New York NY 10022-1649 | |
| (212) 758-9498 | |
| Not Available |
| Full Name | Eastside Dental Medicine |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 595 Madison Ave Fl 27, New York, New York |
| Authorized Official Name and Position | Jyoti Srivastava (CEO) |
| Authorized Official Contact | 2127589498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Dental Medicine 595 Madison Ave Fl 27 New York NY 10022-1649 Ph: (212) 758-9498 | Eastside Dental Medicine 595 Madison Ave Fl 27 New York NY 10022-1649 Ph: (212) 758-9498 |
| NPI Number | 1588022297 |
|---|---|
| Provider Enumeration Date | 02/09/2016 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588022297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
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