Individual
DR. ANNA GASPAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1502 E 14TH ST, BROOKLYN, NY 11230-7148
(718) 376-6006
(718) 376-7339
Mailing address
1353 E 69TH ST, BROOKLYN, NY 11234-5714
(917) 589-7675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051602
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02576603
—
NY
01
—
20-1817596
TAX-ID
NY
01
—
9178346
DORAL
—
Enumeration date
11/02/2006
Last updated
08/20/2009
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