Organization
ELIAZ KAUFMAN DDS PLLC
Active
Other names
East Village Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIAZ KAUFMAN DDS MS (OWNER)
(201) 310-0289
Entity
Organization
Contact information
Practice address
55 AVENUE C, GROUND FLOOR, NEW YORK, NY 10009-6855
(201) 310-0289
Mailing address
55 AVENUE C, GROUND FLOOR, NEW YORK, NY 10009-6855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
49860
NY
1223P0300X
Periodontics
49860
NY
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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