| Madison Avenue Dental Care Pllc | |
|
515 Madison Ave 3303 New York NY 10022-5403 | |
| (212) 751-1333 | |
| Not Available |
| Full Name | Madison Avenue Dental Care Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 515 Madison Ave, New York, New York |
| Authorized Official Name and Position | Simon Roytberg (MEMBER) |
| Authorized Official Contact | 2013287059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Avenue Dental Care Pllc 515 Madison Ave 3303 New York NY 10022-5403 Ph: (212) 751-1333 | Madison Avenue Dental Care Pllc 515 Madison Ave 3303 New York NY 10022-5403 Ph: (212) 751-1333 |
| NPI Number | 1326498734 |
|---|---|
| Provider Enumeration Date | 06/16/2016 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326498734 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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