Individual
DR. DEBRA JILL DERMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
50 PARK AVENUE, NEW YORK, NY 10016
(212) 683-3181
(212) 684-4226
Mailing address
50 PARK AVENUE, NEW YORK, NY 10016
(212) 683-3181
(212) 684-4226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046279
NY
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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