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Individual
MARIA NEMELIVSKY
Active
Individual
MARIA NEMELIVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
057945
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04450208
—
NY
Enumeration date
04/09/2014
Last updated
09/17/2020
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