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MANHATTAN DENTISTRY COSMETY NPI 1639417801


NPI Information

NPI: 1639417801
Provider Name: MANHATTAN DENTISTRY COSMETY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
461 FORT WASHINGTON AVE APT 1
NEW YORK, NY
ZIP 10033
Phone: (212) 568-1003
Get Directions

MANHATTAN DENTISTRY COSMETY is a general practice dentist in New York, 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. MANHATTAN DENTISTRY COSMETY NPI is 1639417801. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

461 FORT WASHINGTON AVE APT 1
NEW YORK, NY
ZIP 10033-632
Phone: (212) 568-1003
Fax: (212) 568-5715

The provider's authorized official is Ibelka Vargas .
The authorized official title is Owner and has the following contact phone number (212) 568-1003.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 1/23/2013.


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 Practice052543NEW YORKNo
21223G0001XDentistGeneral Practice050317-1NEW YORKYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12329808MEDICAIDNEW YORK
22711071MEDICAIDNEW YORK

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

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