Organization
AJAY PAL, DENTIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTIN ZADO (OFFICE MANAGER)
(607) 753-1355
Entity
Organization
Contact information
Practice address
4281 N HOMER AVE, CORTLAND, NY 13045-1018
(607) 753-1355
Mailing address
4281 N HOMER AVE, CORTLAND, NY 13045-1018
(607) 753-1355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
034901
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00563942
—
NY
01
—
1437176260
INDIV. NPI
NY
Enumeration date
03/31/2008
Last updated
03/31/2008
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