Individual
DR. MICHAEL DEVITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
127 W 79TH ST, SUITE 2, NEW YORK, NY 10024-6416
(212) 580-4790
(212) 580-4797
Mailing address
127 W 79TH ST, SUITE 2, NEW YORK, NY 10024-6416
(212) 580-4790
(212) 580-4797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052494
NY
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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