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TOOTHTIMEDENTALSTUDIOPC
414 JERICHO TPKE
SUIT #2
NEW HYDE PARK, NY11040-4510
 Phone: 516-519-8080
 Fax: 516-519-8082
 Website:
Indicates primary specialty

NPI Profile & details for TOOTHTIMEDENTALSTUDIOPC

NPI # 1144568601
LBN Legal business name TOOTHTIMEDENTALSTUDIOPC
Authorized official SEJAL SHAH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2013
Last updated 01/17/2013 - About 13 years ago
Identifiers
NY Medicaid 02145619
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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