Eugene Avrash DDS, Kathy Boadway DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050578 Issued in NY

Legal business name

EUGENE AVRASH DDS, KATHY BOADWAY DDS, PLLC

Doing business as

Cold Spring Dental

Practice address

99 Cold Spring Rd Ste 1
Syosset, NY 11791-3140

Phone

(516) 921-7444

Fax

(516) 921-7287

NPI assigned

Jan 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kathy P. Boadway, DDSNPI 1700092848

Title

Dentist/Owner

Phone

(516) 921-7444

Specialties & licenses 1

Addresses

Other names 1

• Cold Spring Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathy Boadway, D.D.S.

  • General Practice Dentistry
  • Syosset, NY
  • NPI 1700092848
  NPD (past) Authorized official

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1336686526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 COLD SPRING RD STE 1",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913140",
            "telephone_number": "516-921-7444",
            "fax_number": "516-921-7287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 COLD SPRING RD STE 1",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913140",
            "telephone_number": "516-921-7444",
            "fax_number": "516-921-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE AVRASH DDS, KATHY BOADWAY DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "BOADWAY",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "516-921-7444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cold Spring Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Syosset, NY
• Providers in Syosset, 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 Jan 25, 2017; 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.