Individual
DR. GISELE FREDA RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
506 6TH ST, BROOKLYN, NY 11215-3609
(240) 988-2975
Mailing address
506 6TH ST, KP1- AREA 3, BROOKLYN, NY 11215-3609
(718) 780-5410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
056806
NY
122300000X
Dentist
Primary
50056806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03785628
—
NY
Enumeration date
07/29/2013
Last updated
06/20/2024
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