Individual
PAULA ANCELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
505 E 70TH ST, NEW YORK, NY 10021-4872
(212) 746-5119
Mailing address
15 WINSLOW RD, WHITE PLAINS, NY 10606-3509
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056346-01
NY
Other
Enumeration date
04/29/2011
Last updated
08/21/2020
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