Organization
PASQUALE J. MALPESO DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE DIAZ (MEDICAL BILLER)
(212) 838-0090
Entity
Organization
Contact information
Practice address
563 PARK AVE, NEW YORK, NY 10065-7314
(212) 838-0090
(212) 935-1296
Mailing address
563 PARK AVE, NEW YORK, NY 10065-7314
(212) 838-0090
(212) 935-1296
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NY
Other
Enumeration date
08/13/2008
Last updated
05/03/2017
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