Individual
ANGELA GISONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
268 W MERRICK RD, FREEPORT, NY 11520-3347
(516) 378-3200
Mailing address
243 BROOKVILLE LN, GLEN HEAD, NY 11545-2300
(516) 382-2296
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051873
NY
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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