Individual
MR. BERNARDO RAFAEL GIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
107 WEST 4TH STREET, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Mailing address
107 WEST 4TH STREET, MOUNT VERNON, NY 10550-4002
(914) 699-7200
(914) 699-0837
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045134
NY
122300000X
Dentist
0451341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01531497
—
NY
Enumeration date
12/12/2006
Last updated
07/21/2022
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