Individual
AMR FODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5993
(718) 515-5419
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5993
(718) 515-5419
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2012
Last updated
07/30/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us