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Individual

ELIZABETH ROSE MARIE SIMPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
03171001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03171001
NY
Enumeration date
01/11/2023
Last updated
01/11/2023
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