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Individual

DR. MICHELLE GHUSSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
347 5TH AVE, SUITE 1310, NEW YORK, NY 10016-5010
(212) 279-1232
(212) 594-8588
Mailing address
200 E 15TH ST, NEW YORK, NY 10003-3902

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
048874-1
NY

Other

Enumeration date
02/06/2007
Last updated
08/05/2008
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