Individual
DANIELLA RENEE KIRSHNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1044 NORTHERN BLVD STE 106, ROSLYN, NY 11576-1507
(516) 721-6515
Mailing address
80 CLOVER DR, GREAT NECK, NY 11021-1030
(516) 721-6515
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060645
NY
Other
Enumeration date
04/02/2018
Last updated
06/17/2020
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