Individual
DR. BARUCH TETRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
400 E 56TH ST, NEW YORK, NY 10022-4339
(212) 759-5363
Mailing address
250 E 63RD ST STE 1A, NEW YORK, NY 10065-7661
(212) 759-5363
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
052869
NY
Other
Enumeration date
02/11/2010
Last updated
07/07/2011
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