person
Rebecca Ellerin Grodko, DDS
General Practice Dentistry in New York, New York
NPI 1114551587

Rebecca Ellerin Grodko is a General Practice Dentistry based in Teaneck, NY and is specialized in General Practice. Rebecca Ellerin Grodko practices in New York, NY and has the professional credentials of DDS. The NPI Number for Rebecca Ellerin Grodko is 1114551587 and holds a License No. (New York).

The current practice location address for Rebecca Ellerin Grodko is 1901 1St Ave, New York, NY and can be reached out via phone at 212-423-6262.

Location: 1901 1St Ave, New York, NY, 07666-2011
person
Provider Profile Details
NPI Number
1114551587
Provider Name
Rebecca Ellerin Grodko
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1901 1St Ave, New York, NY, 07666-2011
Phone Number
212-423-6262
Fax Number
Provider Enumeration Date
02/25/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1901 1St Ave
City
State
Zip
10029-7494
Phone Number
212-423-6262
Fax Number
person
Provider Business Mailing Address Details
Address
1901 1St Ave
City
State
Zip
10029-7494
Phone Number
212-423-6262
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
061920 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
(New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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