Individual
PRINCY KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
1815 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3836
(718) 746-8900
Mailing address
469 LEONARD BLVD, NEW HYDE PARK, NY 11040-4041
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
060333-1
NY
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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