Organization
PRADIP R. SHETYE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADIP SHETYE DDS, MDS (PRESIDENT)
(917) 553-0349
Entity
Organization
Contact information
Practice address
307 EAST 33TH STREET, LOWER LEVEL, NEW YORK, NY 10016
(212) 263-5204
(212) 263-0882
Mailing address
333 EAST 30TH STREET, APT 1H, NEW YORK, NY 10016
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
055911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03470028
—
NY
Enumeration date
09/27/2013
Last updated
10/02/2013
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