Individual
LISA UGLIALORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.D.S.
Contact information
Practice address
115 CENTRAL PARK WEST, SUITE 2, NEW YORK, NY 10023-4198
(212) 362-3360
Mailing address
8911 160TH AVE, HOWARD BEACH, NY 11414-3142
(917) 217-3758
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
053897
NY
1223P0300X
Periodontics
Primary
053897
NY
Other
Enumeration date
07/16/2008
Last updated
06/10/2014
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