Organization
63RD STREET DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANA ROZENBERG (OWNER)
(212) 355-2540
Entity
Organization
Contact information
Practice address
8A E 63RD ST, NEW YORK, NY 10065-7210
(212) 355-2540
Mailing address
8A E 63RD ST, NEW YORK, NY 10065-7210
(212) 355-2540
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045975-1
NY
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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