| Madison Avenue Orthodontics | |
|
1901 Madison Ave New York NY 10035-2700 | |
| (212) 996-7300 | |
| (212) 996-7301 |
| Full Name | Madison Avenue Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1901 Madison Ave, New York, New York |
| Authorized Official Name and Position | Oleg Drut (DOCTOR) |
| Authorized Official Contact | 2129967300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Avenue Orthodontics 15 Engle St Englewood NJ 07631-2936 Ph: (201) 308-8181 | Madison Avenue Orthodontics 1901 Madison Ave New York NY 10035-2700 Ph: (212) 996-7300 |
| NPI Number | 1538570585 |
|---|---|
| Provider Enumeration Date | 05/13/2014 |
| Last Update Date | 05/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538570585 | NPI | - | NPPES |
| 02156105 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 047218 (New York) | Primary |
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