Individual
DR. JACQUELINE MIKHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(718) 226-9877
Mailing address
475 SEAVIEW AVE, STATEN ISLAND, NY 10305-3436
(917) 974-8445
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
055982
NY
1223P0221X
Pediatric Dentistry
Primary
22DI02529300
NJ
Other
Enumeration date
06/25/2010
Last updated
01/28/2019
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