Organization
CITY ISLAND DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNY RODRIGUEZ (DIRECTOR OF OPERATIONS)
(917) 583-5457
Entity
Organization
Contact information
Practice address
163 CITY ISLAND AVE, BRONX, NY 10464-1537
(718) 885-1688
Mailing address
1040 1ST AVE # 393, NEW YORK, NY 10022-2991
(917) 583-5457
(718) 480-6374
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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