Organization
NICHOLAS S KATCHEN DDS PC
Active
Organization
NICHOLAS S KATCHEN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS SEAN KATCHEN DDS (PRESIDENT)
(917) 282-2934
Entity
Organization
Contact information
Practice address
155 E MAIN ST, PORT JERVIS, NY 12771-2113
(845) 856-5049
Mailing address
228 E ROUTE 59 STE 414, NANUET, NY 10954-2905
(917) 282-2934
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
057362
NY
Other
Enumeration date
05/16/2017
Last updated
05/16/2017
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