Provider Demographics
NPI:1548381015
Name:AMBEWADIKAR, RASHMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:
Last Name:AMBEWADIKAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 E 72ND ST
Mailing Address - Street 2:APT 2D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-4648
Mailing Address - Country:US
Mailing Address - Phone:917-697-9693
Mailing Address - Fax:
Practice Address - Street 1:3044 29TH ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2533
Practice Address - Country:US
Practice Address - Phone:917-832-7177
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0520761223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry