Provider Demographics
NPI:1104818566
Name:ORTHODONTIC CARE, P.C.
Entity type:Organization
Organization Name:ORTHODONTIC CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/SEC
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHOIT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:516-579-8950
Mailing Address - Street 1:4250 HEMPSTEAD TPKE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5711
Mailing Address - Country:US
Mailing Address - Phone:516-579-8950
Mailing Address - Fax:516-579-0092
Practice Address - Street 1:4250 HEMPSTEAD TPKE
Practice Address - Street 2:SUITE 4
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5711
Practice Address - Country:US
Practice Address - Phone:516-579-8950
Practice Address - Fax:516-579-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0341551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty