Organization
GREENWALD & MATANI PTR
Active
Other names
DENTAL ASSOCIATES OF NEW YORK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY GREENWALD DMD (DENTIST)
(212) 691-2112
Entity
Organization
Contact information
Practice address
241 W 23RD ST, NEW YORK, NY 10011-2320
(212) 691-2112
(212) 691-2115
Mailing address
241 W 23RD ST, NEW YORK, NY 10011-2320
(212) 691-2112
(212) 691-2115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
029075
NY
1223G0001X
General Practice Dentistry
30921
NY
1223P0300X
Periodontics
052312
NY
1223P0300X
Periodontics
49025
NY
1223P0300X
Periodontics
49379
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
46855
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12034
AETNA-DMO
NY
Enumeration date
09/06/2006
Last updated
09/16/2008
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