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Organization

SUSAN E. BEREY, DMD, P.C.

Active
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Organization

SUSAN E. BEREY, DMD, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SUSAN E BEREY DMD (ORTHODONTIST)
(212) 249-3780
Entity
Organization

Contact information

Practice address
104 E 74TH ST # 1A, NEW YORK, NY 10021-3544
(212) 249-3780
Mailing address
174 E 74TH ST APT 4E, NEW YORK, NY 10021-3531
(212) 380-1295

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051463
NY

Other

Enumeration date
10/18/2007
Last updated
10/18/2007
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