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COOP CITYDENTAL ASSOCIATES PLLC NPI 1003400805


NPI Information

NPI: 1003400805
Provider Name: COOP CITYDENTAL ASSOCIATES PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2063B BARTOW AVE
BRONX, NY
ZIP 10475
Phone: (718) 379-4734
Get Directions

COOP CITYDENTAL ASSOCIATES PLLC is a general practice dentist in Bronx, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. COOP CITYDENTAL ASSOCIATES PLLC NPI is 1003400805. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2063B BARTOW AVE
BRONX, NY
ZIP 10475-613
Phone: (718) 379-4734
Fax: (718) 379-6487

The provider's authorized official is Farzin Farokhzadeh .
The authorized official title is Dentist/owner and has the following contact phone number (646) 232-7067.

The enumeration date for this NPI number is 2/23/2021 and was last updated on 2/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.