Individual
DR. CHRISTIANE MAGDI PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1000 10TH AVE, ST. LUKE'S ROOSEVELT HOSPITAL CENTER, SUITE 2T, NEW YORK, NY 10019-1147
(212) 523-6500
(212) 523-7182
Mailing address
1065 SOUTHERN BLVD, BRONX, NY 10459-2417
(718) 589-2440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052514
DENTAL LICENSE
NY
Enumeration date
03/27/2007
Last updated
03/31/2022
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