EZ GENTLE FAMILY DENTAL, INC.


Address: 4175 Broadway, New York, NY 10033-3730
Phone: 2127817272

EZ GENTLE FAMILY DENTAL, INC. (NPI# 1578933305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578933305
Entity Type Organization
Organization Name EZ GENTLE FAMILY DENTAL, INC.
Practice Address 4175 Broadway
New York
NY 10033-3730
Mailing Address 56 Ferguson St
E-1
Newark
NJ 07105-2881
Practice Telephone 2127817272
Practice Fax Number 2127812220
Mailing Fax Number 9738782689
Enumeration Date 2015-10-06
Last Update Date 2015-10-06
Authorized Official Name MR. GEORGE D GUTIERREZ (OFFICE MANAGER/ADMINISTRATOR)
Authorized Official Telephone 2127817272
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
New York State Corporations EZ GENTLE FAMILY DENTAL, INC. One Commerce Plaza, 99 Washington Ave, Suite 805-a, Albany, Ny 122102822

Office Location

Street Address 4175 BROADWAY
City NEW YORK
State NY
Zip Code 10033-3730

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134263676 Nelly Kamel Dentist 4175 Broadway, New York, NY 10033-3730 2007-02-17
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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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1215574868 Hudson Street Dental Associates, LLP Clinic/Center 315 Hudson St Lbby 1, New York, NY 10013-1009 2019-12-03
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Competitor

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City NEW YORK
Zip Code 10033

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Dataset Information

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.

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