Provider Demographics
NPI:1386718666
Name:DRS BOYD PC
Entity type:Organization
Organization Name:DRS BOYD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:TAPLIN
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:212-755-9055
Mailing Address - Street 1:515 MADISON AVE
Mailing Address - Street 2:SUITE 1616
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-755-9055
Mailing Address - Fax:212-371-3664
Practice Address - Street 1:515 MADISON AVE
Practice Address - Street 2:SUITE 1616
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-755-9055
Practice Address - Fax:212-371-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Not Answered1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty