Individual
DR. STEPHEN ANTHONY FESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3755 76TH ST, JACKSON HEIGHTS, NY 11372-6507
(718) 429-6116
(516) 498-9364
Mailing address
3755 76TH ST, JACKSON HEIGHTS, NY 11372-6507
(718) 429-6116
(516) 498-9364
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
34936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233210
—
NY
Enumeration date
10/15/2006
Last updated
07/09/2007
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