Floral Park Dental Care,PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FLORAL PARK DENTAL CARE,PC

Practice address

25 S Tyson Ave
Floral Park, NY 11001-2018

Phone

(516) 437-5566

Fax

(516) 437-7858

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Diane Bertuzzi

Title

Practice Manager

Phone

(845) 304-6110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427193564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S TYSON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012018",
            "telephone_number": "516-437-5566",
            "fax_number": "516-437-7858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S TYSON AVE",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110012018",
            "telephone_number": "516-437-5566",
            "fax_number": "516-437-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORAL PARK DENTAL CARE,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERTUZZI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "845-304-6110"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Floral Park, NY
• Providers in Floral Park, 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 Aug 22, 2020; 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.