Provider Demographics
NPI:1942402615
Name:PARK VIEW DENTAL P.C.
Entity Type:Organization
Organization Name:PARK VIEW DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:DE VITO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-751-6344
Mailing Address - Street 1:220 E 57TH ST
Mailing Address - Street 2:SUITE 2BC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2805
Mailing Address - Country:US
Mailing Address - Phone:212-751-6344
Mailing Address - Fax:
Practice Address - Street 1:220 E 57TH ST
Practice Address - Street 2:SUITE 2BC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2805
Practice Address - Country:US
Practice Address - Phone:212-751-6344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty