Individual
DR. CLARISSA KATIA MARCOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
133 E 58TH ST, SUITE 804, NEW YORK, NY 10022-1236
(212) 753-2676
(212) 753-2676
Mailing address
219 TOM HUNTER RD, FORT LEE, NJ 07024-5301
(201) 482-4017
(201) 461-1524
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
044655
NY
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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