Provider Demographics
NPI:1376694166
Name:BNY DENTAL P.C.
Entity Type:Organization
Organization Name:BNY DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTKOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-414-6238
Mailing Address - Street 1:205 W END AVE
Mailing Address - Street 2:APT. 1F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4804
Mailing Address - Country:US
Mailing Address - Phone:646-414-6238
Mailing Address - Fax:
Practice Address - Street 1:205 W END AVE
Practice Address - Street 2:APT. 1F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4804
Practice Address - Country:US
Practice Address - Phone:646-414-6238
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0503621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty