Organization
DENTAL SPECIALTY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL IRVING COHEN DDS (PRESIDENT)
(212) 374-9500
Entity
Organization
Contact information
Practice address
225 BROADWAY, SUITE #105, NEW YORK, NY 10007-3001
(212) 374-9500
(212) 732-0267
Mailing address
225 BROADWAY, SUITE #105, NEW YORK, NY 10007-3001
(212) 374-9500
(212) 732-0267
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02593511
—
NY
Enumeration date
03/23/2006
Last updated
08/22/2020
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