Individual
JENNIFER JANE BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
515 MADISON AVE, SUITE 1212, NEW YORK, NY 10022-5403
(212) 317-0277
Mailing address
435 E 57TH ST APT 14B, NEW YORK, NY 10022-3062
(212) 317-0277
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
041025
NY
Other
Enumeration date
05/08/2007
Last updated
07/18/2007
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