Individual
DR. MOLLIE TOVA LENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Mailing address
1873 WESTERN AVE, SUITE 200, ALBANY, NY 12203-5028
(518) 869-1044
(518) 869-1965
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054165
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054165
STATE LICENSE NUMBER
NY
Enumeration date
08/27/2008
Last updated
08/27/2008
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