Individual
AMALYA IGITYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
125 AMHERST ST, 2FL, BROOKLYN, NY 11235-4114
(646) 238-2020
Mailing address
105 OCEANA DR E, APT #2H, BROOKLYN, NY 11235-6681
(646) 238-2020
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50 056376
NY
Other
Enumeration date
04/06/2011
Last updated
01/26/2017
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