Organization
GRAMERCY PROSTHODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINE BARSOUM DMD (MANAGING MEMBER)
(212) 254-5454
Entity
Organization
Contact information
Practice address
130 E 18TH ST OFC 1M, NEW YORK, NY 10003-2400
(212) 254-5454
Mailing address
130 E 18TH ST OFC 1M, NEW YORK, NY 10003-2400
(212) 254-5454
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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