Organization
EAST HARLEM DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BERNSTEIN DDS (OWNER)
(917) 817-3860
Entity
Organization
Contact information
Practice address
1040 1ST AVE, #393, NEW YORK, NY 10022-2991
(917) 991-1841
Mailing address
201 E 104TH ST, NEW YORK, NY 10029-5418
(212) 348-5492
(212) 828-0905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050960
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02441936
—
NY
Enumeration date
12/03/2015
Last updated
12/03/2015
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