Individual
DR. MIRIAM R IVRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
214 GRAND AVE, NEW HAVEN, CT 06513-3721
(203) 859-5239
Mailing address
6767 BURNS ST APT 2K, FOREST HILLS, NY 11375-3503
(516) 587-1120
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062904
NY
Other
Enumeration date
04/21/2021
Last updated
03/17/2025
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