Organization
DELLANIRA ROSARIO-LEGER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLANIRA ROSARIO-LEGER DDS (DIRECTOR OF CORPORATION)
(212) 740-1208
Entity
Organization
Contact information
Practice address
701 W 179TH ST APT 3, NEW YORK, NY 10033-6027
(212) 740-1208
(212) 740-7755
Mailing address
701 W 179TH ST APT 3, NEW YORK, NY 10033-6027
(212) 740-1208
(212) 740-7755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01137377
—
NY
Enumeration date
08/09/2016
Last updated
08/09/2016
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