Individual
DR. MICHAEL JOHN MARESCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
400 E 56TH STREET, NEW YORK, NY 10022
(212) 755-3415
(212) 308-7924
Mailing address
400 E 56TH STREET, NEW YORK, NY 10022
(212) 755-3415
(212) 308-7924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
029627-1
NY
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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