MANHATTAN DENTISTRY COSMETY NPI 1639417801

NPI Information

NPI: 1639417801
Provider Name: MANHATTAN DENTISTRY COSMETY
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 461 FORT WASHINGTON AVE APT 1
NEW YORK, NY
ZIP 10033
Phone: (212) 568-1003

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	052543	NEW YORK	No
2	1223G0001X	Dentist	General Practice	050317-1	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2329808	MEDICAID	NEW YORK
2	2711071	MEDICAID	NEW 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: 11/21/2025

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