CONCOURSE WEST MANAGEMENT INC NPI 1588749881

NPI Information

CONCOURSE WEST MANAGEMENT INC 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. CONCOURSE WEST MANAGEMENT INC NPI is 1588749881. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

880 RIVER AVE
BRONX, NY
ZIP 10452-431
Phone: (718) 992-0410
Fax: (718) 538-4323

The provider's authorized official is Shel S Kupper .
The authorized official title is Owner and has the following contact phone number (718) 992-0410.

The enumeration date for this NPI number is 10/26/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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