Individual
DR. SCOTT OWEN KISSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
501 MADISON AVE, SUITE 2101, NEW YORK, NY 10022-5611
(212) 702-9088
(212) 702-0717
Mailing address
501 MADISON AVE, SUITE 2101, NEW YORK, NY 10022-5611
(212) 702-9088
(212) 702-0717
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
042331
NY
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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