# STEPHEN H FASSMAN DMDPC

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

## Provider details

- **NPI number:** 1902674021
- **Authorized official:** DR. STEPHEN HOWARD FASSMAN STEPHEN FASSMAN DDS (PRES/SEC)
- **Authorized official phone:** (212) 689-2000

## Contact information

- **Practice address:** 630 5TH AVE STE 1818, NEW YORK, NY 10111-1873
- **Practice address phone:** (212) 689-2000
- **Practice address fax:** (845) 544-2754
- **Mailing address:** 630 5TH AVE STE 1818, NEW YORK, NY 10111-1873
- **Mailing address phone:** (212) 689-2000
- **Mailing address fax:** (845) 544-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 12/18/2023