Organization
NYU DENTAL FACULTY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COSMO V DE STENO DMD, PHD (ASSOCIATE DEAN)
(212) 998-9926
Entity
Organization
Contact information
Practice address
726 BROADWAY, SUITE #350, NEW YORK, NY 10003-9502
(212) 443-1300
Mailing address
726 BROADWAY, SUITE #350, NEW YORK, NY 10003-9502
(212) 443-1300
(212) 443-1331
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
000075-1
NY
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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