<Unavail>

LBN: Cozine Dental Group Pc
<Unavail> is an health care organization with primary practice located at 190 Cozine Ave Ground Floor , Brooklyn NY 11207. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is the primary health care specialty. Cozine Dental Group Pc can be contacted via phone (718) 649-1398, or through Shah, Virendra via phone (718) 649-1398.

Contact Information

Primary practice address
190 Cozine Ave Ground Floor Brooklyn NY 11207
Fax: (718) 272-4688
Website:
Authorized official contact:
Name: Shah, Virendra Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1265790224
LBN Legal business name Cozine Dental Group Pc
DBA Doing business as <Unavail>
Authorized official Shah, Virendra Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 27th, 2012
Last updated May 15th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265790224 NPPES
New York MEDICAID 03387506

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