Individual
DR. JUSTIN WILLIAM BEN ZVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1770 GRAND CONCOURSE, STE 2F, BRONX, NY 10457-5524
(718) 901-8110
(718) 901-8121
Mailing address
875 MAMARONECK AVE, SUITE 302, MAMARONECK, NY 10543-1900
(914) 835-6004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
055257-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03370821
—
NY
Enumeration date
06/12/2009
Last updated
02/13/2014
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