Individual
DR. RICHARD A ANSONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
133 E 54TH ST, SUITE 2C, NEW YORK, NY 10022-4538
(718) 864-4465
Mailing address
133 E 54TH ST, SUITE 2C, NEW YORK, NY 10022-4538
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
055940
NY
Other
Enumeration date
03/18/2012
Last updated
03/18/2012
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