Organization
BENJAMIN SHIRLEY , DDS, PC
Active
Other names
upper westside deantal
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN BANNEKER SHIRLEY I D.D.S. (DENTIST)
(917) 667-6015
Entity
Organization
Contact information
Practice address
992 COLUMBUS AVE, NEW YORK, NY 10025-2501
(917) 667-6015
Mailing address
992 COLUMBUS AVE, NEW YORK, NY 10025-2501
(917) 667-6015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0543381
NY
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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