Individual
KRYSTYNA ZHEZHERYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1501 BROADWAY FRNT 4, NEW YORK, NY 10036-5504
(212) 473-4700
Mailing address
598 GALBRO CIR, WEBSTER, NY 14580-1760
(585) 255-0881
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060717
NY
Other
Enumeration date
07/02/2018
Last updated
01/15/2020
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