# HARLEM 26 DENTAL GROUP PLLC

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

## Provider details

- **NPI number:** 1861890816
- **Authorized official:** ALICIA A PITKOUVICH (MANAGER)
- **Authorized official phone:** (917) 391-8000

## Contact information

- **Practice address:** 63 W 125TH ST, SECOND FLOOR, NEW YORK, NY 10027-4590
- **Practice address phone:** (212) 348-3600
- **Practice address fax:** (212) 348-3900
- **Mailing address:** 63 W 125TH ST, SECOND FLOOR, NEW YORK, NY 10027-4590
- **Mailing address phone:** (212) 348-3600
- **Mailing address fax:** (212) 348-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NY | Yes |

## Other

- **Enumeration date:** 12/08/2014
- **Last updated:** 12/08/2014