Individual
DR. ANNA MELISSA CONCEPCION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
30 CENTRAL PARK S, SUITE 11D, NEW YORK, NY 10019-1628
(212) 838-0673
Mailing address
339 E 65TH ST, APT. 2A, NEW YORK, NY 10065-6887
(617) 970-0476
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053151-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02817421
—
NY
Enumeration date
11/27/2006
Last updated
12/02/2011
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