Individual
DR. ANDREW P. PRIVITERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
595 ERIE AVE, NORTH TONAWANDA, NY 14120-4404
(716) 693-3997
(716) 693-2808
Mailing address
595 ERIE AVE, NORTH TONAWANDA, NY 14120-4404
(716) 693-3997
(716) 693-2808
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01773826
—
NY
Enumeration date
05/08/2007
Last updated
07/08/2007
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