Organization
ORAL SURGERY OF RIVERDALE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN ANN PEREZ (ASSISTANT OFFICE MANAGER)
(914) 472-5252
Entity
Organization
Contact information
Practice address
3333 HENRY HUDSON PKWY, SUITE 9, BRONX, NY 10463-3224
(718) 796-4550
(718) 548-1951
Mailing address
3333 HENRY HUDSON PKWY, SUITE 9, BRONX, NY 10463-3224
(718) 796-4550
(718) 548-1951
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
053531
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03159991
—
NY
Enumeration date
12/11/2015
Last updated
12/11/2015
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