| Metropolitan Dental Associates Dds Pc | |
|
225 Broadway Mezzanine Level New York NY 10007-3001 | |
| (212) 732-7400 | |
| (212) 732-0267 |
| Full Name | Metropolitan Dental Associates Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 225 Broadway, New York, New York |
| Authorized Official Name and Position | Paul Irving Cohen (PRESIDENT) |
| Authorized Official Contact | 2127327400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Metropolitan Dental Associates Dds Pc 225 Broadway Mezzanine Level New York NY 10007-3001 Ph: (212) 732-7400 | Metropolitan Dental Associates Dds Pc 225 Broadway Mezzanine Level New York NY 10007-3001 Ph: (212) 732-7400 |
| NPI Number | 1548229958 |
|---|---|
| Provider Enumeration Date | 03/23/2006 |
| Last Update Date | 08/18/2017 |
| Medicare PECOS PAC ID | 9739513029 |
|---|---|
| Medicare Enrollment ID | O20191219000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548229958 | NPI | - | NPPES |
| 02063601 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 029752 (New York) | Primary |
| Provider Name | Leslie Azran |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467916569 PECOS PAC ID: 0547694838 Enrollment ID: I20191219000254 |
| Provider Name | Paul I Cohen |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1043201759 PECOS PAC ID: 1456664606 Enrollment ID: I20191219001556 |
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