Integrative Mind Body Dental Telehealth Llc

Specialty details in registry · New York, NY

Call (212) 371-0360 Directions

At a glance

30 Central Park S Rm 4C, New York, NY 10019-1628

NPPES record updated Jul 27, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
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Insurance participation and appointment availability are not established by these public records.

Practice location

30 Central Park S Rm 4C
New York, NY 10019-1628
Professional details: NPI, taxonomy & registry record
NPI1942819834
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
133NN1002X
Enumeration date
Jul 27, 2020
Record updated
Jul 27, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101Y00000X

Specialty details in registry

103K00000X

Specialty details in registry

106E00000X

Dentist

122300000X

Specialty details in registry

133N00000X

Specialty details in registry

133NN1002X · Primary

Specialty details in registry

208D00000X

Specialty details in registry

374U00000X

Specialty details in registry

405300000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

30 Central Park S Rm 4C
New York, NY 10019-1628
Phone
(212) 371-0360
Mailing address
30 CENTRAL PARK S RM 4C

NEW YORK, NY 100191628
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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