Individual
LAURIE FLEISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
726 BROADWAY STE 350, NEW YORK, NY 10003-9616
(212) 443-1300
Mailing address
345 EAST 24 STREET, NEW YORK, NY 10010
(212) 998-9942
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
006888
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004236354
—
CT
Enumeration date
10/10/2006
Last updated
03/17/2018
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