Provider Demographics
NPI:1467092965
Name:NYC IMPLANT AND ORAL SURGERY PC
Entity Type:Organization
Organization Name:NYC IMPLANT AND ORAL SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIKHAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUVINSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD, DDS, RPH
Authorized Official - Phone:212-606-2345
Mailing Address - Street 1:30 E 60TH ST STE 907
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-1058
Mailing Address - Country:US
Mailing Address - Phone:212-606-2345
Mailing Address - Fax:646-687-6938
Practice Address - Street 1:30 E 60TH ST STE 907
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-1058
Practice Address - Country:US
Practice Address - Phone:212-606-2345
Practice Address - Fax:646-687-6938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-13
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty