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Organization

GROUP HEALTH DENTAL FACILITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LAUREN COMITTO (CREDENTIAL/BILLING COORDINATOR)
(212) 398-9690
Entity
Organization

Contact information

Practice address
230 W 41ST ST, SECOND FLOOR, NEW YORK, NY 10036-7207
(212) 398-9690
(646) 607-2242
Mailing address
230 W 41ST ST, SECOND FLOOR, NEW YORK, NY 10036-7207
(212) 398-9690
(646) 607-2242

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/15/2012
Last updated
03/04/2013
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