| Evan Chafitz Dmd Pc | |
|
1075 Central Park Ave Suite 207 Scarsdale NY 10583-3242 | |
| (914) 472-5252 | |
| (914) 722-5987 |
| Full Name | Evan Chafitz Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 1075 Central Park Ave, Scarsdale, New York |
| Authorized Official Name and Position | Erica Quinteros (CREDENTIALING) |
| Authorized Official Contact | 7249011964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Chafitz Dmd Pc 1075 Central Park Ave Suite 207 Scarsdale NY 10583-3242 Ph: (914) 472-5252 | Evan Chafitz Dmd Pc 1075 Central Park Ave Suite 207 Scarsdale NY 10583-3242 Ph: (914) 472-5252 |
| NPI Number | 1700032562 |
|---|---|
| Provider Enumeration Date | 08/13/2008 |
| Last Update Date | 10/10/2023 |
| Medicare PECOS PAC ID | 8022394261 |
|---|---|
| Medicare Enrollment ID | O20170424001538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700032562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 043847 (New York) | Primary |
| Provider Name | Evan Chafitz |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760549505 PECOS PAC ID: 3779541586 Enrollment ID: I20041227000687 |
| Provider Name | Mckinley Lenard Price |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1164679791 PECOS PAC ID: 9032333059 Enrollment ID: I20140613001145 |
| Provider Name | Heather Zanon Fugazy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366829053 PECOS PAC ID: 7719355320 Enrollment ID: I20221201000717 |
| Provider Name | Matthew Frank Lalli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1659635175 PECOS PAC ID: 9335518166 Enrollment ID: I20221216001701 |
| Provider Name | Kristen Ariel Rogers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033831821 PECOS PAC ID: 2365811163 Enrollment ID: I20221219001466 |
| Provider Name | Mia D Kutner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548720873 PECOS PAC ID: 8820326481 Enrollment ID: I20230905000450 |
| Provider Name | Jason Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1205398021 PECOS PAC ID: 1557718178 Enrollment ID: I20231103000586 |
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