Organization
WASHINGTON HEIGHTS ORTHODONTICS PLLC
Active
Organization
WASHINGTON HEIGHTS ORTHODONTICS PLLC
Active
Other names
Gramercy Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BERK DDS (OWNER)
(212) 777-9177
Entity
Organization
Contact information
Practice address
200 E 15TH ST, SUITE PRB, NEW YORK, NY 10003-3902
(212) 777-9177
(212) 777-9178
Mailing address
200 E 15TH ST, SUITE PRB, NEW YORK, NY 10003-3902
(212) 777-9177
(212) 777-9178
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/23/2017
Last updated
03/09/2017
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