Individual
DR. COLLEEN COURNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30 E 40TH ST, SUITE 900, NEW YORK, NY 10016-1201
(212) 682-0770
(212) 682-5310
Mailing address
30 E 40TH ST, SUITE 900, NEW YORK, NY 10016-1201
(212) 682-0770
(212) 682-5310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034088
NY
Other
Enumeration date
04/03/2007
Last updated
05/06/2013
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