Individual
ELENA STOUDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
186E 123ST, NEW YORK, NY 10035
(212) 731-9717
Mailing address
120E 83ST 4A, NEW YORK, NY 10028
(212) 731-9717
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043840
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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