Provider Demographics
NPI:1023110533
Name:PRYWES, ALON MEIR (DMD)
Entity type:Individual
Prefix:DR
First Name:ALON
Middle Name:MEIR
Last Name:PRYWES
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 1:33 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-4338
Mailing Address - Country:US
Mailing Address - Phone:212-982-4439
Mailing Address - Fax:212-677-1907
Practice Address - Street 1:33 5TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4338
Practice Address - Country:US
Practice Address - Phone:212-982-4439
Practice Address - Fax:212-677-1907
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0363601223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics