Organization
GREATER NEW YORK DENTAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GALINA RUZHANSKY D.D.S. (VICE-PRESIDENT)
(914) 375-2870
Entity
Organization
Contact information
Practice address
420 PALISADE AVE, 1J, YONKERS, NY 10703-2651
(914) 375-2870
Mailing address
420 PALISADE AVE, 1J, YONKERS, NY 10703-2651
(914) 375-2870
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
045668
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01526003
—
NY
05
—
01526067
—
NY
Enumeration date
03/17/2008
Last updated
03/17/2008
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