# MODERN DENTAL OF MANHATTAN PC

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

## Provider details

- **NPI number:** 1992330641
- **Authorized official:** MICHAEL YONAIEV (MANAGER)
- **Authorized official phone:** (212) 758-1000

## Contact information

- **Practice address:** 425 MADISON AVE RM 500, NEW YORK, NY 10017-1170
- **Practice address phone:** (212) 758-1000
- **Mailing address:** 425 MADISON AVE RM 500, NEW YORK, NY 10017-1170
- **Mailing address phone:** (212) 758-1000

## Taxonomy

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

## Other

- **Enumeration date:** 03/03/2020
- **Last updated:** 03/03/2020