Individual
BEATRICE CHEPCHUMBA MARITIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
423 E 23RD ST, VA NEW YORK HARBOR HEALTH CARE SYSTEM, NEW YORK, NY 10010-5011
(212) 686-7500
Mailing address
339 2ND ST, APT. 1L, BROOKLYN, NY 11215-2416
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
052028
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
052028
NY STATE LICENSE NUMBER
NY
Enumeration date
10/16/2007
Last updated
10/16/2007
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