Individual
MENACHEM MENDEL IVRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
214 GRAND AVE, NEW HAVEN, CT 06513-3721
(203) 859-5239
Mailing address
1247 PRESIDENT ST, BROOKLYN, NY 11225-1605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14196
CT
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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