Individual
DEBORAH MANSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 W 57TH ST STE 915, NEW YORK, NY 10019-2401
(212) 245-1066
Mailing address
858 BRYANT ST, WOODMERE, NY 11598-2540
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
058595-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/10/2015
Last updated
04/12/2021
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