Lynbrook Luxury Dental,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LYNBROOK LUXURY DENTAL,PC

Practice address

393 Sunrise Hwy Ste a
Lynbrook, NY 11563-3059

Phone

(516) 825-6969

Fax

(516) 825-6925

NPI assigned

Oct 31, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Victoria Firdman

Title

Manager

Phone

(917) 326-0912

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1265076459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY STE A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633059",
            "telephone_number": "516-825-6969",
            "fax_number": "516-825-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 SUNRISE HWY STE A",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115633059",
            "telephone_number": "516-825-6969",
            "fax_number": "516-825-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNBROOK LUXURY DENTAL,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-31",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "FIRDMAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "917-326-0912",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubczenko Physical Therapy PLLC
• Erik Lubczenko, DPT
• Peter Grant Luecken, DC
• Luxury Dental of Lynbrook PLLC
• Lynbrook Drugs Corp
• Lynbrook Medical Diagnostic Ultrasound
• Lynbrook Podiatry PLLC
• Lynbrook SC LLC
• Lynbrook Union Free School District
• Ludy Anne Maca

• General Practice Dentistry in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.