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NPI 1992127765

OrganizationActive

125th Street Orthodontics, PC

NPI 1992127765 · Dental Clinic/Center · New York, NY

Provider details

NPI number: 1992127765
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Authorized official: Kenneth Cooperman, Secretary
License: 046957 (NY)

Practice location

360 W 125th St

Suite 8

New York, NY 10027-4801

Phone: (646) 221-8944

More NY providers

Mailing address

789 W End Ave

New York, NY 10025-5469

Registry dates

Enumerated: 2014-01-14
Last updated: 2014-01-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

125th Street Orthodontics, PC — NPI 1992127765, New York, NY | NPI Central