| Jr Ny Dental Pc | |
|
1196 Lexington Ave New York NY 10028-1405 | |
| (551) 999-2226 | |
| (908) 926-2636 |
| Full Name | Jr Ny Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 1196 Lexington Ave, New York, New York |
| Authorized Official Name and Position | Jeffrey Ben Rappaport (OWNER/DENTAL DIRECTOR) |
| Authorized Official Contact | 5519992226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jr Ny Dental Pc 890 Mountain Ave Ste 310 New Providence NJ 07974-1240 Ph: (551) 999-2226 | Jr Ny Dental Pc 1196 Lexington Ave New York NY 10028-1405 Ph: (551) 999-2226 |
| NPI Number | 1053962191 |
|---|---|
| Provider Enumeration Date | 09/20/2019 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053962191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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