Concourse West Management INC

NPI #1588749881 in Bronx, New York

Provider Information

NPI Number: 1588749881
Entity Type: Organization
Organization Name: Concourse West Management INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 26, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 880 RIVER AVE
City: Bronx
State: New York
ZIP Code: 10452-9431
Phone: (718) 992-0410

Authorized Official

Name: DR. SHEL S KUPPER, DDS
Title: OWNER
Phone: (718) 992-0410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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