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Provider Information for 1992859938



DR. ELLIOTT OSTRO DMD

Gender: MALE

Individual NPI: 1992859938

Calendar Last Updated: 2015-06-01

Details

Name Value
NPI 1992859938
Enumeration Date 2007-01-23
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 30 CENTRAL PARK S SUITE 2C
NEW YORK, NY 10019-1628
United States

Phone: 212-223-8311 | Fax:
View Map External Link
Primary Practice Address 30 CENTRAL PARK S SUITE 2C
NEW YORK, NY 10019-1628
United States

Phone: 212-223-8311 | Fax:
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223S0112X - Dentist Oral and Maxillofacial Surgery NY 049241-1
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location