Individual
DR. IVETTE A FERREIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
8820 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7800
(718) 651-3311
(718) 651-3312
Mailing address
8111 45TH AVE APT 3N, ELMHURST, NY 11373-3516
(718) 314-2476
(718) 651-3312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050729-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02420139
—
NY
Enumeration date
08/13/2006
Last updated
06/19/2012
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