Individual
DR. DEANGELO JAMAL INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 434-4500
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(212) 434-4500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063725
NY
Other
Enumeration date
04/13/2022
Last updated
02/20/2024
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