Individual
DEBORAH JILLIAN TIRSUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1 GUSTAVE L LEVY PL # 1187, NEW YORK, NY 10029-6504
(212) 423-4500
(646) 476-4704
Mailing address
1 GUSTAVE L LEVY PL # 1187, NEW YORK, NY 10029-6504
(212) 423-4500
(646) 476-4704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062062
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
02/14/2024
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