Individual
DR. BRIAN RICHARD CIPORIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6839 MYRTLE AVE, GLENDALE, NY 11385-7234
(718) 497-4585
(718) 497-4585
Mailing address
8808 151ST AVE, 5K, HOWARD BEACH, NY 11414-1440
(718) 845-7193
(718) 845-7193
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401006644
VA
122300000X
Dentist
Primary
NY039882
NY
Other
Enumeration date
03/28/2006
Last updated
07/08/2007
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