Individual
JASMINE A GHANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5800 3RD AVE, BROOKLYN, NY 11220-3702
(718) 630-0100
Mailing address
469 JEFFERSON AVE, STATEN ISLAND, NY 10306-5430
(917) 497-4337
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062281
NY
Other
Enumeration date
05/20/2020
Last updated
05/03/2024
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