Provider Demographics
NPI:1215144712
Name:PHILIP S. SCHNALL D.M.D. & LARRY R. FARKAS D.M.D. P.C
Entity type:Organization
Organization Name:PHILIP S. SCHNALL D.M.D. & LARRY R. FARKAS D.M.D. P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:R
Authorized Official - Last Name:FARKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-247-7059
Mailing Address - Street 1:330 W 58TH ST STE 313
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1821
Mailing Address - Country:US
Mailing Address - Phone:212-247-7059
Mailing Address - Fax:
Practice Address - Street 1:330 W 58TH ST STE 313
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1821
Practice Address - Country:US
Practice Address - Phone:212-247-7059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty