Individual
ADRIANA MILAGROS AYMAT CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2101 41ST AVE, LONG ISLAND CITY, NY 11101-4801
(718) 784-2240
Mailing address
115 57TH AVE UNIT 5029, LONG ISLAND CITY, NY 11101-6776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061576
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/07/2019
Last updated
07/11/2023
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