| Nyu Dental Faculty Practice North | |
|
222 E 41st St Fl 22 New York NY 10017-6739 | |
| (212) 263-7552 | |
| (212) 263-6931 |
| Full Name | Nyu Dental Faculty Practice North |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 E 41st St Fl 22, New York, New York |
| Authorized Official Name and Position | Robert S Glickman (ASSOC DEAN CLINICAL AFFAIRS) |
| Authorized Official Contact | 1224431322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nyu Dental Faculty Practice North 222 E 41st St Fl 22 New York NY 10017-6739 Ph: (212) 263-7552 | Nyu Dental Faculty Practice North 222 E 41st St Fl 22 New York NY 10017-6739 Ph: (212) 263-7552 |
| NPI Number | 1871713438 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 09/24/2019 |
| Medicare PECOS PAC ID | 1355232422 |
|---|---|
| Medicare Enrollment ID | O20121002000667 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871713438 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | 021314-2 (New York) | Primary |
| Provider Name | Vasiliki Karlis |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1700947793 PECOS PAC ID: 0345231825 Enrollment ID: I20040522000174 |
| Provider Name | Kenneth E Fleisher |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1275612970 PECOS PAC ID: 8527234327 Enrollment ID: I20111228000620 |
| Provider Name | Alexander Ross Kerr |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1306994645 PECOS PAC ID: 7517133713 Enrollment ID: I20120109000891 |
| Provider Name | Robert Glickman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1104915230 PECOS PAC ID: 8123286457 Enrollment ID: I20120216000060 |
| Provider Name | Brian L Schmidt |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417906777 PECOS PAC ID: 7214091800 Enrollment ID: I20121002000672 |
| Provider Name | Denise A Trochesset |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841253788 PECOS PAC ID: 6608026679 Enrollment ID: I20121029000376 |
| Provider Name | Kim E Goldman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1689634404 PECOS PAC ID: 8224003173 Enrollment ID: I20140908001965 |
| Provider Name | Marci Levine |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255321931 PECOS PAC ID: 6901177732 Enrollment ID: I20170811002198 |
| Provider Name | Lena Alsabban |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1386842615 PECOS PAC ID: 5496028300 Enrollment ID: I20170829000105 |
| Provider Name | Vivian Wasmuht-perroud |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1841382124 PECOS PAC ID: 3779687884 Enrollment ID: I20171121001034 |
| Provider Name | Archana Viswanath |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124408075 PECOS PAC ID: 6800145921 Enrollment ID: I20220310002783 |
| Provider Name | Andrea Torroni |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1619354347 PECOS PAC ID: 8729378062 Enrollment ID: I20221012001811 |
| Provider Name | Rachelle Amanda Wolk |
|---|---|
| Provider Type | Practitioner - Oral Medicine |
| Provider Identifiers | NPI Number: 1659915791 PECOS PAC ID: 7012358161 Enrollment ID: I20240507004001 |
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