| Ethics Dental Ipa, Inc | |
|
600 W 146th St Gf New York NY 10031-4301 | |
| (212) 368-9532 | |
| (212) 368-2245 |
| Full Name | Ethics Dental Ipa, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 600 W 146th St, New York, New York |
| Authorized Official Name and Position | Libia R Jimenez (PRESIDENT) |
| Authorized Official Contact | 2126689532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethics Dental Ipa, Inc 600 W 146th St Gf New York NY 10031-4301 Ph: (212) 368-9532 | Ethics Dental Ipa, Inc 600 W 146th St Gf New York NY 10031-4301 Ph: (212) 368-9532 |
| NPI Number | 1144517525 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144517525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 045307-1 (New York) | Primary |
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