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Organization

NEW YORK UNIVERSITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES N BERTOLAMI DDS, DMEDSC (DEAN)
(212) 992-7089
Entity
Organization

Contact information

Practice address
421 1ST AVE, NEW YORK, NY 10010-4001
(212) 998-9915
Mailing address
421 1ST AVE, NEW YORK, NY 10010-4001
(212) 998-9915

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
025663
NY

Other

Enumeration date
03/25/2015
Last updated
03/25/2015
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