Individual
DR. GENEVIEVE BOIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
23 BOND ST STE 8, GREAT NECK, NY 11021-2025
(516) 482-0329
(516) 482-0401
Mailing address
431 W 37TH ST APT 9F, NEW YORK, NY 10018-2117
(347) 476-7036
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
059087-1
NY
Other
Enumeration date
07/06/2013
Last updated
09/18/2018
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