Provider Demographics
NPI:1710414479
Name:BEEKMAN PLACE DENTAL
Entity Type:Organization
Organization Name:BEEKMAN PLACE DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDULLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOOBI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-688-8400
Mailing Address - Street 1:352 E 51ST ST
Mailing Address - Street 2:BASEMENT
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7826
Mailing Address - Country:US
Mailing Address - Phone:212-688-8400
Mailing Address - Fax:
Practice Address - Street 1:352 E 51ST ST
Practice Address - Street 2:BASEMENT
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7826
Practice Address - Country:US
Practice Address - Phone:212-688-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053558122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty