Individual
DR. ADAEZE STEPHANIE NKEMDIRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 423-4500
(212) 289-0126
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
(212) 423-4500
(212) 289-0126
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060931
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/24/2018
Last updated
05/29/2020
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