Individual
JOSEPH MANFREDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 MADISON AVE, SUITE 500, NEW YORK, NY 10017-1110
(212) 758-1000
Mailing address
425 MADISON AVE, SUITE 500, NEW YORK, NY 10017-1110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052155
NY
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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