Provider Demographics
NPI:1376004887
Name:MANHATTAN DENTAL CARE PLLC
Entity Type:Organization
Organization Name:MANHATTAN DENTAL CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:N
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-506-0000
Mailing Address - Street 1:385 WEST JOHN ST
Mailing Address - Street 2:2ND FL
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801
Mailing Address - Country:US
Mailing Address - Phone:516-506-0000
Mailing Address - Fax:516-336-3664
Practice Address - Street 1:250 E 63RD ST UNIT 1-A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7661
Practice Address - Country:US
Practice Address - Phone:516-506-0000
Practice Address - Fax:516-336-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty