Provider Demographics
NPI:1154455624
Name:HEILBUT, ROSENMAN, RADIN, AND CHO PC
Entity Type:Organization
Organization Name:HEILBUT, ROSENMAN, RADIN, AND CHO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:RADIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-753-3117
Mailing Address - Street 1:59 E 54TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-4211
Mailing Address - Country:US
Mailing Address - Phone:212-753-3117
Mailing Address - Fax:212-644-7092
Practice Address - Street 1:59 E 54TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-4211
Practice Address - Country:US
Practice Address - Phone:212-753-3117
Practice Address - Fax:212-644-7092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0449181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty