| New York Tmd | |
|
800 2nd Avenue Suite #802 New York NY 10017-9221 | |
| (973) 589-5900 | |
| Not Available |
| Full Name | New York Tmd |
|---|---|
| Speciality | Dentist |
| Location | 800 2nd Avenue, New York, New York |
| Authorized Official Name and Position | Omar F. Suarez (OWNER) |
| Authorized Official Contact | 9735895900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New York Tmd 800 2nd Avenue Suite #802 New York NY 10017-9221 Ph: (973) 589-5900 | New York Tmd 800 2nd Avenue Suite #802 New York NY 10017-9221 Ph: (973) 589-5900 |
| NPI Number | 1396441234 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 08/11/2023 |
| Medicare PECOS PAC ID | 0446611602 |
|---|---|
| Medicare Enrollment ID | O20230803002859 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396441234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Omar F Suarez |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891869814 PECOS PAC ID: 1658315973 Enrollment ID: I20170719002358 |
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