Individual
CATHY ANN MARIE MAVRINAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
2071 2ND AVE, NEW YORK, NY 10029-4101
(212) 410-6969
(212) 410-6989
Mailing address
74 WILSON RD, VALLEY STREAM, NY 11581-3418
(646) 508-5345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050999-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02717077
—
NY
Enumeration date
06/04/2007
Last updated
07/08/2007
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