Organization · NPI-2

34th Street Dental Associates PC

Dentist, General Practice · New York, NY

NPI number1871618512
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1871618512
Entity type
Organization (NPI-2)
Legal business name
34th Street Dental Associates PC
Organization subpart
No
Enumeration date
Mar 20, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice037532NYYes

Practice location

225 W 35th St
New York, NY 10001-1904

Phone 212-564-8164 · Fax 212-244-4522

Mailing address

145 Golf View Dr
Jericho, NY 11753-2820

Phone 516-433-2078

Authorized official

David Scott Tarica
Owner
2125648164

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