Organization
PARK AVENUE DENTAL ANESTHESIA SERVICES PC
Active
Organization
PARK AVENUE DENTAL ANESTHESIA SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C CHOTKOWSKI DMD (OWNER)
(212) 838-0090
Entity
Organization
Contact information
Practice address
563 PARK AVE, NEW YORK, NY 10065-7379
(212) 808-0090
(212) 935-1296
Mailing address
563 PARK AVE, NEW YORK, NY 10065-7379
(212) 808-0090
(212) 935-1296
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0417231
NY
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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