Organization
CITIDENTAL OF HARLEM PC
Active
Other names
East Harlem Community Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA SHRAGA DDS (PRESIDENT)
(917) 797-7272
Entity
Organization
Contact information
Practice address
2022 LEXINGTON AVE, GROUND FLOOR, NEW YORK, NY 10035-2225
(212) 987-0777
Mailing address
2022 LEXINGTON AVE, GROUND FLOOR, NEW YORK, NY 10035-2225
(212) 987-0777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02721117
—
NY
Enumeration date
12/30/2011
Last updated
01/12/2012
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