Organization
E MENA DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNY FLORIAN (MANAGER)
(212) 694-2277
Entity
Organization
Contact information
Practice address
600 W 150TH ST APT 2, NEW YORK, NY 10031-2465
(212) 694-2277
(212) 694-3789
Mailing address
600 W 150TH ST APT 2, NEW YORK, NY 10031-2465
(212) 694-2277
(212) 694-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042603
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01182154
—
NY
05
—
01632008
—
NY
05
—
01708901
—
NY
05
—
02366076
—
NY
Enumeration date
05/17/2007
Last updated
06/19/2008
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