Individual
BRIAR LEA DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
525 E 68TH ST, BOX # 207, NEW YORK, NY 10065
(212) 746-5380
Mailing address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574
(914) 848-8880
(914) 848-8881
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
273704
NY
208200000X
Plastic Surgery Physician
57320
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008080420
—
CT
05
—
05106863
—
NY
Enumeration date
04/09/2012
Last updated
07/27/2018
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