Serena Kassam in New York - Pediatric Dentistry
Serena Kassam - NPI 1699978924
Serena Kassam is a Pediatric Dentistry in New York, New York. Serena Kassam practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Serena Kassam is 1699978924. The last update date is 2019-12-02.
Serena Kassam's current location address is 345 E 24th St # 9w, New York, New York. You can contact this provider via phone number 6176998465. The mailing address for Serena Kassam is 345 E 24th St # 9w, New York, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Serena Kassam |
|---|---|
| Address | 345 E 24th St # 9w, New York, New York |
| Phone Number | 6176998465 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1699978924 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2019-12-02 |
Provider Mailing Address Detail
| Address | 345 E 24th St # 9w |
|---|---|
| City | New York |
| State | New York (NY) |
| Post Code | 100104020 |
| Phone Number | 6176998465 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | LD00017 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 56467 | NY | NYS DENTAL LICENSE | |
| LD00017 | RI | LIMITED LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Serena Kassam by the Centers for Medicare & Medicaid Services?
The Serena Kassam has been issued the NPI (National Provider Identifier) 1699978924 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Serena Kassam's physical address?
The Serena Kassam is physically located at 345 E 24Th St # 9W, in the city of New York, NY, with the postal code 100104020.
What is Serena Kassam's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Serena Kassam is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did Serena Kassam receive its 1699978924 assignment from the Centers for Medicare & Medicaid Services?
The Serena Kassam was assigned its 1699978924 on 2007-06-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Serena Kassam most recently updated or revised?
The details related to Serena Kassam, including its address, specialty, and other relevant information, were last updated or revised on 2019-12-02.