Individual
ELIZABETH PHILIPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
630 W 168TH ST, PH 1562 W, NEW YORK, NY 10032-3725
(212) 305-9235
(212) 305-5958
Mailing address
630 W 168TH ST, PH 1562 W, NEW YORK, NY 10032-3725
(212) 305-9235
(212) 305-5958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
22DI02289900
NJ
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
053889-1
NY
Other
Enumeration date
08/23/2007
Last updated
09/25/2009
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