Provider Demographics
NPI:1619663721
Name:EMILY RO DDS, P.C.
Entity Type:Organization
Organization Name:EMILY RO DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:RO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-453-2382
Mailing Address - Street 1:250 8TH AVE APT 2S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-1620
Mailing Address - Country:US
Mailing Address - Phone:212-248-1000
Mailing Address - Fax:646-518-2022
Practice Address - Street 1:250 8TH AVE APT 2S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-1620
Practice Address - Country:US
Practice Address - Phone:212-248-1000
Practice Address - Fax:646-518-2022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-12
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty