Individual
GENEVIEVE ICART-BANDALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
100 N PORTLAND AVE, BROOKLYN, NY 11205-2005
(718) 260-7550
Mailing address
22520 107TH AVE, QUEENS VILLAGE, NY 11429-2410
(718) 217-1960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
041087
NY
Other
Enumeration date
10/27/2006
Last updated
04/28/2015
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