RANDY ZULTOWSKY DDS P.C. NPI 1780101212

NPI Information

NPI: 1780101212
Provider Name: RANDY ZULTOWSKY DDS, P.C.
Classification: Clinic/Center - 261QD0000X
Specialization: Dental
Entity Type: Organization
Doing Business As: UPPER WEST SIDE PEDIATRIC DENTISTRY
Address: 315 W 70TH ST
NEW YORK, NY
ZIP 10023
Phone: (917) 952-5642

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NPI Details

RANDY ZULTOWSKY DDS, P.C. is a dental clinic center in New York, NY. RANDY ZULTOWSKY DDS, P.C. NPI is 1780101212. The provider is registered as an organization entity type.
The provider Is Doing Business As Upper West Side Pediatric Dentistry.

The provider's business location address is:

315 W 70TH ST
NEW YORK, NY
ZIP 10023-504
Phone: (917) 952-5642

The provider's authorized official is Randy Zultowsky .
The authorized official title is President and has the following contact phone number (917) 952-5642.

The enumeration date for this NPI number is 8/25/2017 and was last updated on 8/25/2017.

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	261QD0000X	Clinic/Center	Dental	055100	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	03530783	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: 3/30/2025

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