PARK AVE PEDIATRIC DENTAL OFFICE NPI 1417026295

NPI Information

PARK AVE PEDIATRIC DENTAL OFFICE is a pediatric dentistry dentist in New York, NY. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PARK AVE PEDIATRIC DENTAL OFFICE NPI is 1417026295. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Dr. Deborah Pilla, Dr. Ann Lambert, Dr. Liraz Spear.

The provider's business location address is:

870 PARK AVENUE
NEW YORK, NY
ZIP 10075
Phone: (212) 879-6518
Fax: (212) 879-6578

The provider's authorized official is Elizabeth Dolly Romeo .
The authorized official title is Office Manager and has the following contact phone number (212) 879-6518.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 1/26/2012.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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