Provider Demographics
NPI:1093848624
Name:PROSTHODONTIC ASSOCIATES OF NY, PC
Entity Type:Organization
Organization Name:PROSTHODONTIC ASSOCIATES OF NY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-986-4830
Mailing Address - Street 1:60 E 42ND ST
Mailing Address - Street 2:SUITE 1656
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10165-0006
Mailing Address - Country:US
Mailing Address - Phone:212-986-4839
Mailing Address - Fax:212-986-4927
Practice Address - Street 1:60 E 42ND ST
Practice Address - Street 2:SUITE 1656
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10165-0006
Practice Address - Country:US
Practice Address - Phone:212-986-4839
Practice Address - Fax:212-986-4927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0239961223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty