Individual
JOSEPH M PRISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29 FOX STREET, POUGHKEEPSIE, NY 12601
(845) 471-5202
Mailing address
29 FOX ST, 3RD FLOOR MID HUDSON ORAL & MAXILLOFACIAL SURGEONS PC, POUGHKEEPSIE, NY 12601
(845) 471-5202
(845) 471-2092
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
31762
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00496593
—
NY
Enumeration date
09/08/2006
Last updated
07/08/2007
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