Individual
DR. AVRA MIRIAM LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
85 WOODLAKE DR W, WOODBURY, NY 11797-2304
(516) 574-3359
Mailing address
85 WOODLAKE DR W, WOODBURY, NY 11797-2304
(516) 574-3359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045535
NY
Other
Enumeration date
08/18/2015
Last updated
04/09/2020
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