Individual
DR. EDA MARIE MAIELLO-PENSIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
334 BURR RD, COMMACK, NY 11725-1935
(631) 499-3039
(631) 462-7795
Mailing address
334 BURR RD, COMMACK, NY 11725-1935
(631) 499-3039
(631) 462-7795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
041633
NY
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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