Organization
283 HURLEY AVE DENTAL, PLLC
Active
Other names
Dr. Gene DeStefano, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY MAISCH (DIRECTOR OF OPERATIONS)
(845) 430-9394
Entity
Organization
Contact information
Practice address
283 HURLEY AVE, KINGSTON, NY 12401-2421
(845) 430-9394
Mailing address
283 HURLEY AVE, KINGSTON, NY 12401-2421
(845) 430-9394
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780690958
NPI
NY
Enumeration date
10/13/2022
Last updated
10/13/2022
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