# PROHEALTH RIVERSIDE DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073151114
- **Authorized official:** NEIL KARNOFSKY DDS (MANAGING PARTNER)
- **Authorized official phone:** (516) 654-4400

## Contact information

- **Practice address:** 125 RIVER RD STE 104, EDGEWATER, NJ 07020-1002
- **Practice address phone:** (201) 941-0088
- **Mailing address:** 1 PRO HEALTH PLZ STE 300, NEW HYDE PARK, NY 11042
- **Mailing address phone:** (516) 654-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2019
- **Last updated:** 12/19/2019