Individual
DR. VIRMARIS L PERDOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1228 WANTAGH AVE, # 102, WANTAGH, NY 11793-2209
(516) 679-7978
Mailing address
347 W 55TH ST, APT 1 I, NEW YORK, NY 10019-4554
(212) 203-3977
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
053986-1
NY
Other
Enumeration date
08/25/2008
Last updated
08/25/2008
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