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Contact Information

1995 BROADWAY DENTAL ARTS PLLC
1995 BROADWAY
NEW YORK, NY10023-5882
 Phone: 212-247-2330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for 1995 BROADWAY DENTAL ARTS PLLC

NPI Number 1144697368
LBN Legal business name 1995 BROADWAY DENTAL ARTS PLLC
Authorized official MARC LIECHTUNG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/24/2015
Last updated 08/24/2015 - About 11 years ago
Identifiers
NY License # 040754
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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