Search › New York › 1223D0004X
Phong Ta, D.D.S
NPI 1861646747 · on the registry since 2008 · sole proprietor
Practice
- Address
- 410 W 53rd St
Apt 126
New York, NY 10019 - Phone
- (215) 527-8768
- Organisation at this address
- Dental Anesthesia Of New York, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 1223D0004X
1223D0004X
- Also registered as
- 122300000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York