# PROHEALTH RIVERSIDE DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PROHEALTH RIVERSIDE DENTAL, PLLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295321107
- **Legal business name:** PROHEALTH RIVERSIDE DENTAL, PLLC
- **Authorized official:** MS. NATALYA KOROBEYNYK (RCM)
- **Authorized official phone:** (516) 654-4400

## Contact information

- **Practice address:** 300 SYLVAN AVE FL 3, ENGLEWOOD CLIFFS, NJ 07632-2525
- **Practice address phone:** (201) 581-6300
- **Mailing address:** 3333 NEW HYDE PARK RD STE 310, NEW HYDE PARK, NY 11042-1205
- **Mailing address phone:** (516) 654-4400

## Taxonomy

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

## Other

- **Enumeration date:** 12/15/2020
- **Last updated:** 12/18/2020