# RANDY ZULTOWSKY DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Upper West Side Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780101212
- **Authorized official:** DR. RANDY ZULTOWSKY DDS (PRESIDENT)
- **Authorized official phone:** (917) 952-5642

## Contact information

- **Practice address:** 315 W 70TH ST, NEW YORK, NY 10023-3504
- **Practice address phone:** (917) 952-5642
- **Mailing address:** 11 W 69TH ST APT 1C, NEW YORK, NY 10023-4700
- **Mailing address phone:** (917) 952-5642

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 055100 | NY | Yes |

## Other

- **Enumeration date:** 08/25/2017
- **Last updated:** 08/25/2017