Empire State Orthodontics, PC
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Scotia, NY
NPI 1003571365 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1003571365
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- EMPIRE STATE ORTHODONTICS, PC
- Practice address
- 207 Mohawk Ave # 1a
Scotia, NY 12302-2150 - Phone
- (518) 535-3294
- NPI assigned
- Nov 2, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- EMPIRE STATE ORTHODONTICS, PC
Authorized official
- Name
- Casey Lonabocker
- Title
- VP Strategy and Operations
- Phone
- (617) 535-3364
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Empire State Orthodontics PC
- Part of
- Empire State Orthodontics PC
Locations
207 Mohawk Ave
#1A
Scotia, NY 12302
Phone (518) 535-3294
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | Yes |
Addresses
Primary practice location
207 Mohawk Ave # 1a
Scotia, NY 12302-2150
Mailing address
131 Dartmouth St FL 3
Boston, MA 02116-5297
Other names
- Scotia Orthodontics
Other providers in Scotia, NY
- Dr. Jeffrey M. Backer
- Stephen Dukenski
- Dawn Marie Edgar
- Oona Edmands
- Maryanne Kay Ege
- Colby Enides
- Renee Paul Evenden
- Family Care Health Nurse Practitioner PC
- Family Care Nurse Practitioner, P.C.
- Anthony Ferraro
All providers in Scotia, NY · Orthodontics and Dentofacial Orthopedics Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.