Individual
ELLEN H KAREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.DH.
Contact information
Practice address
728 N MAIN ST, REFUAH HEALTH CENTER, SPRING VALLEY, NY 10977-1960
(845) 354-9300
(845) 354-4298
Mailing address
728 N MAIN ST, REFUAH HEALTH CENTER, SPRING VALLEY, NY 10977-1960
(845) 354-9300
(845) 354-4298
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
007895
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01421705
—
NY
Enumeration date
02/21/2007
Last updated
12/11/2007
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