Organization
116 STREET DENTAL CARE PLLC
Active
Other names
uptown dental group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED S BEHEIRY DDS (DENTIST)
(718) 573-3333
Entity
Organization
Contact information
Practice address
240 W 116TH ST, GROUND FLOOR, NEW YORK, NY 10026-2431
(347) 331-6681
Mailing address
240 W 116TH ST, GROUND FLOOR, NEW YORK, NY 10026-2431
(347) 331-6681
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
056883
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03693818
—
NY
Enumeration date
07/17/2014
Last updated
07/17/2014
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