Provider Demographics
NPI:1659842870
Name:CARNEGIE HILL 91ST ST DENTAL
Entity Type:Organization
Organization Name:CARNEGIE HILL 91ST ST DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SINH
Authorized Official - Middle Name:THI
Authorized Official - Last Name:TA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-876-6475
Mailing Address - Street 1:15 E 91ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0648
Mailing Address - Country:US
Mailing Address - Phone:212-876-6475
Mailing Address - Fax:
Practice Address - Street 1:15 E 91ST ST STE A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0648
Practice Address - Country:US
Practice Address - Phone:212-876-6475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty