Individual
JILL J DEBIASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
250 E 63RD ST, SUITE A, NEW YORK, NY 10065-7661
(212) 753-5250
(212) 753-0530
Mailing address
250 E 63RD ST, SUITE A, NEW YORK, NY 10065-7661
(212) 753-5250
(212) 753-0530
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
043647
NY
Other
Enumeration date
06/10/2008
Last updated
06/19/2008
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