NPI 1164819306

Spyridon J Condos DDS LLC

Organisation Point of Service New York, NY

Practice location

Address: 115 Central Park W, New York, NY 10023
Phone: (212) 799-6900
Fax: (212) 769-2290

Authorised official

Name: Carrell D Clarke
Title: Administrator
Phone: (212) 799-6900

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 38225 (NY)

Other Point of Service providers in New York →

Registry record

NPI: 1164819306
Entity type: Organization
NPI issued: 24 Apr 2015
Record last updated: 24 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.