Individual
DR. JEREMIAH D'ANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4571 HYLAN BLVD, STATEN ISLAND, NY 10312-6405
(718) 966-4800
(718) 966-5478
Mailing address
4571 HYLAN BLVD, STATEN ISLAND, NY 10312-6405
(718) 966-4800
(718) 966-5478
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
040122
NY
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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