Individual
DR. CHARBEL GHOSN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8057 BREWERTON RD, CICERO, NY 13039-9585
(347) 400-9566
Mailing address
8057 BREWERTON RD, CICERO, NY 13039-9585
(347) 400-9566
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058719
NY
Other
Enumeration date
05/23/2015
Last updated
08/26/2016
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