Organization
CHELSEA DENTAL CARE PC
Active
Other names
Preferred Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JELISSA BISONO (OFFICE MANAGER)
(212) 594-7171
Entity
Organization
Contact information
Practice address
135 W 27TH ST, GROUND FLOOR, NEW YORK, NY 10001-6226
(212) 594-7171
(212) 447-0896
Mailing address
135 W 27TH ST, GROUND FLOOR, NEW YORK, NY 10001-6226
(212) 594-7171
(212) 447-0896
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
046152-1
NJ
122300000X
Dentist
049543-1
NY
122300000X
Dentist
052876-1
NY
122300000X
Dentist
053699-1
NY
122300000X
Dentist
Primary
430871
NY
1223P0300X
Periodontics
053219-1
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
039259-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226286
—
NY
Enumeration date
06/11/2008
Last updated
09/22/2016
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