Individual
CAROLYN VANBUSKIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30 CENTRAL PARK S, SUITE #12 A, NEW YORK, NY 10019-1628
(212) 688-0824
(212) 826-5089
Mailing address
1922 22ND DRIVE, APT#2 A, ASTORIA, NY 11105
(212) 688-0824
(212) 826-5089
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
046127
NY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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