Organization
MARINA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARINA PODLUBNY DDS (PRESIDENT)
(212) 234-2244
Entity
Organization
Contact information
Practice address
3768 BROADWAY, NEW YORK, NY 10032-1548
(212) 234-2244
(212) 281-3789
Mailing address
3768 BROADWAY, NEW YORK, NY 10032-1548
(212) 234-2244
(212) 281-3789
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0474431
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01804833
—
NY
Enumeration date
11/16/2006
Last updated
08/22/2020
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