PROS903 (NPI# 1235480518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235480518 |
| Entity Type | Organization |
| Organization Name | PROS903 |
| Practice Address |
30 E 60th St Suite 903 New York NY 10022-1008 |
| Practice Telephone | 2129358700 |
| Practice Fax Number | 2129358702 |
| Mailing Telephone | 2129358700 |
| Mailing Fax Number | 2129358702 |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |
| Authorized Official Name | DR. MARLA C KING (OWNER) |
| Authorized Official Telephone | 2129358700 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
Dental Providers |
| Street Address |
30 E 60TH ST SUITE 903 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750389243 | Bonnie Sue Reichman | Internal Medicine | 30 E 60th St, Suite 701, New York, NY 10022-1008 | 2005-07-08 |
| 1215441423 | Lisa Rose Durso, Md Pllc | Preferred Provider Organization | 30 E 60th St, 808, New York, NY 10022-1008 | 2017-11-27 |
| 1366806960 | Sarah Demarco | Psychologist | 30 E 60th St, Suite 1002, New York, NY 10022-1008 | 2016-04-09 |
| 1396116711 | Caryn Melissa Nearnberg | Optometrist | 30 E 60th St, Suite 201, New York, NY 10022-1008 | 2015-10-12 |
| 1255708806 | Danielle Weis | Physical Therapist | 30 E 60th St, New York, NY 10022-1008 | 2015-08-31 |
| 1053704544 | Advanced Dental Aesthetics Ny | Dentist | 30 E 60th St, Suite 1101, New York, NY 10022-1008 | 2015-03-09 |
| 1942606165 | Diana Jun | Nurse Practitioner | 30 E 60th St, Suite 302, New York, NY 10022-1008 | 2014-11-16 |
| 1417359498 | Gina Delisio | Physical Therapist | 30 E 60th St, New York, NY 10022-1008 | 2014-09-22 |
| 1356771588 | M.y. Physical Therapy | Clinic/Center | 30 E 60th St, Suite 904, New York, NY 10022-1008 | 2013-11-25 |
| 1912331349 | Buruiana Surgical Suite Pllc | Clinic/Center | 30 E 60th St, Suite 809, New York, NY 10022-1008 | 2013-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927624 | Victor Yin Yu Lee | Dentist | 130 Fort Washington Ave Ofc 1b, New York, NY 10032-4724 | 2020-09-19 |
| 1972111441 | Lex Prosthodontics, Pllc | Dentist | 185 E 85th St Ofc 2, New York, NY 10028-2191 | 2020-07-21 |
| 1437767936 | Gramercy Prosthodontics, Pllc | Dentist | 130 E 18th St Ofc 1m, New York, NY 10003-2400 | 2020-07-21 |
| 1073031506 | Rhugielyn Mangaoang | Dentist | 51 W 51st St Ste 350, New York, NY 10019 | 2017-09-05 |
| 1811412174 | Allen & Schwarz Dental Pllc | Dentist | 30 Central Park S Rm 10b, New York, NY 10019-1628 | 2017-08-08 |
| 1912357203 | Shari Ginsburg | Dentist | 1175 Park Ave Ste 1b, New York, NY 10128-1211 | 2016-06-16 |
| 1366827677 | Darya Luchinskaya | Dentist | 150 E 58th St Ste 3200, New York, NY 10155-3299 | 2015-07-28 |
| 1831486265 | Christian Fj Stappert | Dentist | 421 First Avenue, New York, NY 10010-9218 | 2011-07-06 |
| 1043503949 | Arch Dental Associates | Dentist | 3 Washington Square Vlg, Suite 1b/d, New York, NY 10012-1836 | 2011-05-25 |
| 1841582160 | Happy Smiles Dental Group | Dentist | 420 E 64th St Apt W3f, New York, NY 10065-7862 | 2011-05-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.