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Individual

ARIANA RACHELA SPAGNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
STONY BROOK SCHOOL OF DENTAL MEDICINE SOUTH DRIVE, STONY BROOK, NY 11794-0001
(631) 632-8989
Mailing address
23 DERBY RD, PORT WASHINGTON, NY 11050-4224
(516) 417-7955

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
064369
NY
390200000X
Student in an Organized Health Care Education/Training Program
NY

Other

Enumeration date
02/14/2023
Last updated
10/14/2024
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