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Organization
PROHEALTH RIVERSIDE DENTAL, LLC
Active
Organization
PROHEALTH RIVERSIDE DENTAL, LLC
Active
Parent organization
PROHEALTH RIVERSIDE DENTAL, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PROHEALTH RIVERSIDE DENTAL, LLC
Authorized official
NATALYA KOROBEYNYK (RCM)
(516) 654-4400
Entity
Organization
Contact information
Practice address
1400 HUDSON ST # 2, HOBOKEN, NJ 07030-5686
(201) 740-2700
Mailing address
3333 NEW HYDE PARK RD STE 310, NEW HYDE PARK, NY 11042-1205
(516) 654-4400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
NULL
1223P0300X
Periodontics
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
04/02/2019
Last updated
02/21/2023
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