Individual
MONA ITKONITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
49 FOREST RD, MONROE, NY 10950
(845) 782-3242
(845) 783-7133
Mailing address
49 FOREST RD, MONROE, NY 10950
(845) 782-3242
(845) 783-7133
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
018476
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01620680
—
NY
Enumeration date
09/10/2009
Last updated
09/10/2009
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