Individual
AMI MISAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 SKYLINE DR, HAWTHORNE, NY 10532-2134
(914) 594-2700
Mailing address
245 MILLWOOD RD, CHAPPAQUA, NY 10514-1417
(914) 238-1483
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
000135-01
NY
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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