Indian Rock Dental, PC
Organization Active NPI Dentist · Montebello, NY
NPI 1578998639 · NPPES record last updated Sep 9, 2013
Key facts
- NPI
- 1578998639
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 054403 (NY)
- Legal business name
- INDIAN ROCK DENTAL, PC
- Practice address
- 15 Indian Rock
#15
Montebello, NY 10901-4907 - Phone
- (845) 357-7717
- NPI assigned
- Sep 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Rachel Fainman
- Title
- Owner
- Phone
- (845) 357-7717
National Provider Directory
Locations
15 Indian Rock
#15
Montebello, NY 10901
Phone (845) 357-7717
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 054403 | NY | Yes |
Addresses
Primary practice location
15 Indian Rock
#15
Montebello, NY 10901-4907
Mailing address
15 Indian Rock
#15
Montebello, NY 10901-4907
Phone (845) 357-7717
Other providers in Montebello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2013. 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.