Provider Demographics
NPI:1629110952
Name:MANHATTAN DENTAL ASSOCIATES, LLP.
Entity Type:Organization
Organization Name:MANHATTAN DENTAL ASSOCIATES, LLP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:S
Authorized Official - Last Name:KUSHNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-944-2836
Mailing Address - Street 1:2 W 45TH ST
Mailing Address - Street 2:SUITE 1008
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4212
Mailing Address - Country:US
Mailing Address - Phone:212-944-2836
Mailing Address - Fax:212-944-9635
Practice Address - Street 1:2 W 45TH ST
Practice Address - Street 2:SUITE 1008
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4212
Practice Address - Country:US
Practice Address - Phone:212-944-2836
Practice Address - Fax:212-944-9635
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0361911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty