| Empire State Dental Group Pc | |
|
350 Fifth Avenue Suite 5222 New York City NY 10118 | |
| (212) 594-8060 | |
| (212) 594-8936 |
| Full Name | Empire State Dental Group Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 350 Fifth Avenue, New York City, New York |
| Authorized Official Name and Position | Jeffrey J Marjolin (PRESIDENT) |
| Authorized Official Contact | 2125948060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Empire State Dental Group Pc 350 Fifth Avenue Suite 5222 New York City NY 10118 Ph: (212) 594-8060 | Empire State Dental Group Pc 350 Fifth Avenue Suite 5222 New York City NY 10118 Ph: (212) 594-8060 |
| NPI Number | 1427183516 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427183516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |