Individual
DR. IRENE KAKOSYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
405 LEXINGTON AVE, FLOOR 21, NEW YORK, NY 10174-0002
(212) 661-9777
(212) 661-9779
Mailing address
163 RIDGEWOOD AVE, GLEN RIDGE, NJ 07028-1104
(212) 661-9777
(212) 661-9779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049136-1
NY
Other
Enumeration date
07/03/2007
Last updated
07/08/2007
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