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Individual

STEPHANIE ASUSTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4321
Mailing address
111 EAST 210TH STREET, BRONX, NY 10467
(718) 920-4321

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
06048901
NY

Other

Enumeration date
03/13/2017
Last updated
09/13/2019
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