Individual
DR. BESA MARISENOJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
621 KATAN AVE, STATEN ISLAND, NY 10312-3422
(718) 948-4000
Mailing address
621 KATAN AVE, STATEN ISLAND, NY 10312-3422
(718) 948-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054054
NY
Other
Enumeration date
01/09/2009
Last updated
10/16/2020
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