EAST 63RD STREET
Organization (NPI-2)
Active
Dentist, Oral and Maxillofacial Surgery
Provider Information
- NPI Number
1811328297- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 250 E 63RD ST, NEW YORK, NY, 100657661
- Phone
- (212) 644-7009
Specialties & Taxonomies
Dentist, Oral and Maxillofacial Surgery
Primary License: NY #056681