Individual
ELIZABETH POVEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5155
Mailing address
14 N 11TH ST, NEW HYDE PARK, NY 11040-4209
(516) 352-3789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048176-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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