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Individual

DR. JENNIFER MARIE PUMAREJO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
4546 HYLAN BLVD, STATEN ISLAND, NY 10312-6403
(718) 948-5111
(718) 948-1932
Mailing address
4546 HYLAN BLVD, STATEN ISLAND, NY 10312-6403
(718) 948-5111
(718) 948-1932

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
056307
NY
122300000X
Dentist
22DI02502000
NJ

Other

Enumeration date
06/29/2011
Last updated
09/20/2012
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