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Contact Information

AAA UPTOWN STAR DENTAL PC
680 W 204TH ST APT 1C
NEW YORK, NY10034-3003
 Phone: 212-569-4652
 Fax: 212-569-4644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AAA UPTOWN STAR DENTAL PC

NPI # 1003958398
LBN Legal business name AAA UPTOWN STAR DENTAL PC
Authorized official VALENTINA KRIVOSHEYEVA - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 046105
NY Medicaid 01995757
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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