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DR. BRIMICQI ABASI SHANI COLLISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
294 ROUTE 9W, GLENMONT, NY 12077-2904
(518) 626-8620
Mailing address
21906 130TH DR, LAURELTON, NY 11413-1219
(347) 985-6712

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064376
NY

Other

Enumeration date
06/06/2023
Last updated
10/08/2024
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