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Organization
SHAY MARKOVITCH DENTISTRY, PLLC
Active
Organization
SHAY MARKOVITCH DENTISTRY, PLLC
Active
Parent organization
SHAY MARKOVITCH DENTISTRY, PLLC
Other names
Columbia Street Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAY MARKOVITCH DENTISTRY, PLLC
Authorized official
ELIZABETH WORTHMAN (REGIONAL MANAGER)
(845) 842-9221
Entity
Organization
Contact information
Practice address
876 COLUMBIA ST, HUDSON, NY 12534-2360
(518) 671-6002
Mailing address
876 COLUMBIA ST, HUDSON, NY 12534-2360
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
07/31/2023
Last updated
08/31/2026
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