Individual
ARIEL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457
(718) 960-6628
Mailing address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-6628
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057580
NY
Other
Enumeration date
03/22/2013
Last updated
07/03/2018
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