# ISLAND PEDIATRIC DENTISTRY PC

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

## Provider details

- **NPI number:** 1265876726
- **Authorized official:** DR. SARA H SEO DDS (PRESIDENT)
- **Authorized official phone:** (646) 409-3753

## Contact information

- **Practice address:** 1300 UNION TPKE STE 307, NEW HYDE PARK, NY 11040-1759
- **Practice address phone:** (646) 409-3753
- **Practice address fax:** (866) 357-0569
- **Mailing address:** 1300 UNION TPKE STE 307, NEW HYDE PARK, NY 11040-1759

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 054536 | NY | Yes |

## Other

- **Enumeration date:** 04/26/2013
- **Last updated:** 04/26/2013