Individual
DR. JENNIFER FERMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1879 ROUTE 112 STE 3, CORAM, NY 11727-2256
(631) 474-0410
(631) 474-0430
Mailing address
1879 ROUTE 112 STE 3, CORAM, NY 11727-2256
(631) 474-0410
(631) 474-0430
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
049319-1
NY
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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