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Contact Information

HARLEM DENTAL COSMETIC PLAZA PC
1916 3RD AVE GRD FL
NEW YORK, NY10029
 Phone: 212-348-1177
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for HARLEM DENTAL COSMETIC PLAZA PC

NPI Number 1104131424
LBN Legal business name HARLEM DENTAL COSMETIC PLAZA PC
Authorized official ALI JAZAYERI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2010
Last updated 08/11/2010 - About 16 years ago
Identifiers
NY License # 053328
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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