| NPI Details | |
|---|---|
| NPI | 1407087075 |
| Enumeration Date | 07/30/2009 |
| Last Updated | 07/30/2009 |
| Entity Type | Healthcare Provider |
| Active | Over 7 years ago |
| Authorized Information | |
|---|---|
| Name | FREDA FREDA |
| Position | DENTIST/OWNER |
| Phone | (212) 737-1787 |
| Fax | (212) 706-0197 |
| Practice Location | |
|---|---|
| 175 E 74TH ST 1A NEW YORK NY, 10021-3218, US |
|
| Phone | (212) 737-1787 |
| Fax | (212) 706-0197 |
| Business Location | |
|---|---|
| 175 E 74TH ST 1A NEW YORK NY, 10021-3218, US |
|
| Phone | (212) 737-1787 |
| Fax | (212) 706-0197 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 1223G0001X |
| License State | New York |
| License Number | 047925 |
| Remove 1407087075 NPI Number | |
According to our database, Upper East Side Dentistry,pllc NPI is 1407087075, taxonomy code is 1223G0001X and license number is 047925, license state is located at New York. Upper East Side Dentistry,pllc physically located at 175 E 74th St, New York NY, 10021-3218. NPI Number 1033115704 has the healthcare provider type.
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1407087075 NPI number is provided on an as is basis without warranty of any kind. 1407087075 is maintained by the National Plan & Provider Enumeration System. The contents of Upper East Side Dentistry,pllc are for informational purposes only.
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