Individual
DR. JAYANTHI KONDAMANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
133 MORNINGSIDE AVENUE, NEW YORK, NY 10027
(212) 923-2525
Mailing address
25 PIERREPONT ST, #2, BROOKLYN, NY 11201-3366
(718) 797-9894
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049698
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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