| I. Prodanova Dds, Pc | |
|
1 W 34th St Rm 903 New York NY 10001-2229 | |
| (212) 216-9090 | |
| Not Available |
| Full Name | I. Prodanova Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 W 34th St Rm 903, New York, New York |
| Authorized Official Name and Position | Iordanka Prodanova (DENTIST) |
| Authorized Official Contact | 2122169092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I. Prodanova Dds, Pc 241 W 97th St Apt 2n New York NY 10025-6207 Ph: (646) 387-6083 | I. Prodanova Dds, Pc 1 W 34th St Rm 903 New York NY 10001-2229 Ph: (212) 216-9090 |
| NPI Number | 1396376356 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 10/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396376356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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