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125th Street Orthodontics, Pc
Dental Clinic/Center in New York, New York
NPI 1992127765

125th Street Orthodontics, Pc is a Dental Clinic/Center based in New York, NY and is specialized in Dental. 125th Street Orthodontics, Pc practices in New York, NY. The NPI Number for 125th Street Orthodontics, Pc is 1992127765 and holds a License No. 046957 (New York).

The current practice location address for 125th Street Orthodontics, Pc is 360 W 125Th St, New York, NY and can be reached out via phone at 646-221-8944.

Location: 360 W 125Th St, New York, NY, 10025-5469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992127765
Provider Name
125th Street Orthodontics, Pc
Credential
Provider Entity Type
Organization
Address
360 W 125Th St, New York, NY, 10025-5469
Phone Number
646-221-8944
Fax Number
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02207707 05 NY
institution
Provider Business Practice Location Address Details
Address
360 W 125Th St
City
New York
State
New York
Zip
10027-4801
Phone Number
646-221-8944
Fax Number
person
Provider Business Mailing Address Details
Address
360 W 125Th St
City
New York
State
New York
Zip
10027-4801
Phone Number
646-221-8944
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
046957 (New York)
Definition
Definition to come...
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