Provider Demographics
NPI:1598983512
Name:CHATHAM TOWER DENTAL OFFICE P.C.
Entity Type:Organization
Organization Name:CHATHAM TOWER DENTAL OFFICE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TO
Authorized Official - Middle Name:YEI
Authorized Official - Last Name:CHOY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-385-9399
Mailing Address - Street 1:180 PARK ROW
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1127
Mailing Address - Country:US
Mailing Address - Phone:212-385-9399
Mailing Address - Fax:
Practice Address - Street 1:180 PARK ROW
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1127
Practice Address - Country:US
Practice Address - Phone:212-385-9399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY389831223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty