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Individual

DR. EMANUEL BARTOLAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
330 W 58TH ST, SUITE 205, NEW YORK, NY 10019-1827
(212) 265-3224
(212) 977-4724
Mailing address
330 W 58TH ST, SUITE 205, NEW YORK, NY 10019-1827
(212) 265-3224
(212) 977-4724

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044598
NY

Other

Enumeration date
05/23/2007
Last updated
07/08/2007
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