Individual
BRITTANY BAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1824 MADISON AVE, NEW YORK, NY 10035-3832
(901) 289-7150
Mailing address
1824 MADISON AVE, NEW YORK, NY 10035-3832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061433
NY
Other
Enumeration date
05/02/2019
Last updated
03/01/2021
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