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Contact Information

57 CENTRAL DENTAL PROFESSIONAL CORPORATION
57 W 57TH ST STE 710
NEW YORK, NY10019-2802
 Phone: 212-564-1888
 Fax: 212-564-1161
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 57 CENTRAL DENTAL PROFESSIONAL CORPORATION

NPI Number 1134628415
LBN Legal business name 57 CENTRAL DENTAL PROFESSIONAL CORPORATION
Authorized official JUNG-HUN KIM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/01/2018
Last updated 02/01/2018 - About 8 years ago
Identifiers
NY License # 051275
NY License # 051532
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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