Individual
DR. JULISSA DEMORIZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2109 BROADWAY, SUITE 201, NEW YORK, NY 10023-2138
(212) 874-0030
Mailing address
201 E 86TH ST, APT. 25B, NEW YORK, NY 10028-3023
(646) 382-6046
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052026-1
NY
Other
Enumeration date
07/19/2008
Last updated
02/07/2011
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