Individual
MARLENE RIVERA SOTOMAYOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
520 W 190TH ST, SUITE A, NEW YORK, NY 10040-3407
(212) 568-3231
Mailing address
520 W 190TH ST, SUITE A, NEW YORK, NY 10040-3407
(212) 568-3231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056825-1
NY
1223G0001X
General Practice Dentistry
056825-1
NY
Other
Enumeration date
04/25/2012
Last updated
08/21/2013
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