Individual
DR. MARY GRIGORATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
31-79 30TH STREET, ASTORIA, NY 11106
(718) 545-4740
(718) 545-4740
Mailing address
31-79 30TH STREET, ASTORIA, NY 11106
(718) 545-4740
(718) 545-4740
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046147
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01914974
—
NY
Enumeration date
08/15/2006
Last updated
08/23/2024
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