Provider Demographics
NPI:1114325388
Name:N.Y.U COLLEGE OF DENTISTRY
Entity Type:Organization
Organization Name:N.Y.U COLLEGE OF DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WESTRICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-273-5082
Mailing Address - Street 1:1401 OCEAN AVE APT 5I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3909
Mailing Address - Country:US
Mailing Address - Phone:917-273-5082
Mailing Address - Fax:
Practice Address - Street 1:1401 OCEAN AVE APT 5I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3909
Practice Address - Country:US
Practice Address - Phone:917-273-5082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-19
Last Update Date:2014-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty