Organization
HUGHESCOLONDENTISTRYPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIXTO GUILLERMO TIGRERO (MANIGER)
(212) 942-1945
Entity
Organization
Contact information
Practice address
581 ACADEMY ST SUITE C, NEW YORK, NY 10034-5102
(212) 942-1945
(212) 942-2498
Mailing address
581 ACADEMY ST OFC C, NEW YORK, NY 10034-5102
(212) 942-1945
(212) 942-2498
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043262
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01278335
—
NY
05
—
1467517979
—
NY
Enumeration date
05/01/2008
Last updated
05/01/2008
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