Dentists On Madison Group Practice
Dentist in New York, NY. Organization (NPI-2).
NPI number1013382829
StatusActive
Last updated in NPPESDec 4, 2015
Details
- NPI
- 1013382829
- Entity type
- Organization (NPI-2)
- Legal business name
- Dentists On Madison Group Practice
- Organization subpart
- No
- Enumeration date
- Dec 4, 2015
- Last updated
- Dec 4, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 049044 | NY | Yes |
Practice location
175 Madison AveNew York, NY 10016-5106
Phone 212-532-2000
Mailing address
175 Madison AveNew York, NY 10016-5106
Phone 212-532-2000
Authorized official
Khaled Eldin
Owner
2125322000
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