Individual
MARISELA GARAU GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1244 AMSTERDAM AVE, NEW YORK, NY 10027-5924
(212) 342-2300
Mailing address
1244 AMSTERDAM AVE, NEW YORK, NY 10027-5924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MARIGARAU3684
—
NY
Enumeration date
01/06/2010
Last updated
09/12/2023
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