125TH STREET ORTHODONTICS, PC

NEW YORK, NY
NPI1992127765
Entity TypeOrganization
Authorized ContactKENNETH BRUCE COOPERMAN
Secretary
646-221-8944
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: NY  046957)
Enumeration Date2014-01-14
Last Update Date2014-01-14
Business Address
125TH STREET ORTHODONTICS, PC
360 W 125TH ST SUITE 8
NEW YORK, NY 10027-4801
Phone number: 646-221-8944
Mailing Address
125TH STREET ORTHODONTICS, PC
789 W END AVE APT.. 12-A
NEW YORK, NY 10025-5469
Phone number: 646-221-8944