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Individual

DR. ALYSSA ANN GURSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
57 W 57TH ST, SUITE 707, NEW YORK, NY 10019-2802
(212) 888-2833
Mailing address
57 W 57TH ST, SUITE 707, NEW YORK, NY 10019-2802
(212) 888-2833

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
043841-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
41-2058044
DENTIST
NY
Enumeration date
10/03/2008
Last updated
10/03/2008
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