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Organization

SCHIMMEL ORTHODONTIC ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SANFORD SCHIMMEL D.D.S (PARTNER)
(718) 548-4768
Entity
Organization

Contact information

Practice address
3265 JOHNSON AVE, SUITE 104, BRONX, NY 10463-3539
(718) 548-4768
(718) 543-0594
Mailing address
3265 JOHNSON AVE, SUITE 104, BRONX, NY 10463-3539
(718) 548-4768
(718) 543-0594

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
050286
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
24184
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02139119
NY
05
02768963
NY
Enumeration date
09/20/2012
Last updated
09/20/2012
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