Individual
DR. ANN AKUYO LAYVEY-TARDALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
1775 GRAND CONCOURSE # 21, BRONX, NY 10453-8202
(646) 228-4306
(718) 492-5090
Mailing address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(646) 228-4306
(718) 492-5090
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
055961-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03437189
—
NY
Enumeration date
06/23/2010
Last updated
01/04/2022
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