Individual
CARLY EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
180 E POST RD # 4910, WHITE PLAINS, NY 10601-4910
(914) 946-5437
Mailing address
23R KENYON PL, MOUNT VERNON, NY 10552-3018
(770) 344-7046
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
062585
NY
Other
Enumeration date
03/26/2020
Last updated
12/16/2023
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