Provider Demographics
NPI:1942720503
Name:MANHASSET DENTAL ARTS
Entity Type:Organization
Organization Name:MANHASSET DENTAL ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABRAMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-472-7575
Mailing Address - Street 1:16 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2442
Mailing Address - Country:US
Mailing Address - Phone:516-472-7575
Mailing Address - Fax:516-472-7573
Practice Address - Street 1:16 PARK AVE
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2442
Practice Address - Country:US
Practice Address - Phone:516-472-7575
Practice Address - Fax:516-472-7573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0519341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty