Provider Demographics
NPI:1235709908
Name:HARBOR POINT DENTAL AT CHAPPAQUA CROSSING
Entity Type:Organization
Organization Name:HARBOR POINT DENTAL AT CHAPPAQUA CROSSING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SPOSATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-897-2097
Mailing Address - Street 1:200 WESTAGE BUSINESS CTR DR STE 233
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2262
Mailing Address - Country:US
Mailing Address - Phone:845-897-2097
Mailing Address - Fax:
Practice Address - Street 1:480 BEDFORD RD # D4
Practice Address - Street 2:
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-1715
Practice Address - Country:US
Practice Address - Phone:203-548-0826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-25
Last Update Date:2021-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty