Individual
DR. JILL VARRIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2312 31ST ST, ASTORIA, NY 11105-2768
(718) 278-0358
Mailing address
1320 YORK AVE, APARTMENT 18M, NEW YORK, NY 10021-4800
(516) 382-4891
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057518
NY
Other
Enumeration date
09/27/2014
Last updated
09/27/2014
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