Provider Demographics
NPI:1710153184
Name:NADLER, SHELDON (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:
Last Name:NADLER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 W 54TH ST
Mailing Address - Street 2:SUITE 1-D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5404
Mailing Address - Country:US
Mailing Address - Phone:212-757-3745
Mailing Address - Fax:212-757-3792
Practice Address - Street 1:25 W 54TH ST
Practice Address - Street 2:SUITE 1-D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5404
Practice Address - Country:US
Practice Address - Phone:212-757-3745
Practice Address - Fax:212-757-3792
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0303641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice