Individual
MANAL ELESILY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HYG
Contact information
Practice address
6341 RIDGE RD, SODUS, NY 14551-9743
(315) 483-1199
Mailing address
601B W WASHINGTON ST, GENEVA, NY 14456-2119
(315) 781-8448
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
030572
NY
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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