Individual
MONICA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD, MPH
Contact information
Practice address
432 E 149TH ST, BRONX, NY 10455-1343
(718) 618-7564
Mailing address
6200 HUDSON AVE, 506, WEST NEW YORK, NJ 07093-3066
(734) 883-4406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056676
NY
Other
Enumeration date
04/11/2012
Last updated
12/26/2016
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