Provider Demographics
NPI:1225208697
Name:NEW YORKER DENTAL CARE PC
Entity Type:Organization
Organization Name:NEW YORKER DENTAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:TSUNOYU
Authorized Official - Last Name:LUO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-966-7180
Mailing Address - Street 1:17 ELIZABETH ST
Mailing Address - Street 2:SUITE 407
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10013-4803
Mailing Address - Country:US
Mailing Address - Phone:212-966-7180
Mailing Address - Fax:212-966-7181
Practice Address - Street 1:17 ELIZABETH ST
Practice Address - Street 2:SUITE 407
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10013-4803
Practice Address - Country:US
Practice Address - Phone:212-966-7180
Practice Address - Fax:212-966-7181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-02
Last Update Date:2008-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0416501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty