Individual
DR. CARMEN MIREYA RIJOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
2420 DAVIDSON AVE, 1FL, BRONX, NY 10468-6318
(718) 563-0303
(718) 367-7117
Mailing address
2420 DAVIDSON AVE, 1FL, BRONX, NY 10468-6318
(718) 563-0303
(718) 367-7117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045670
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01526392
—
NY
01
—
4860
DENTAL
WI
Enumeration date
01/31/2006
Last updated
04/30/2013
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