Individual
JYOTI P SRIVASTAVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., D.D.S.
Contact information
Practice address
225 E 64TH ST, SUITE 1, NEW YORK, NY 10021-6690
(212) 758-9498
(212) 838-3533
Mailing address
225 E 64TH ST, SUITE 1, NEW YORK, NY 10021-6690
(212) 758-9498
(212) 838-3533
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
042539
NY
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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