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Individual

DR. ABRA J. DILISIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3905 61ST ST, WOODSIDE, NY 11377-3566
(718) 899-5437
(718) 247-5727
Mailing address
306 E 96TH ST, APARTMENT 17A, NEW YORK, NY 10128-3839
(248) 217-4590

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
054342-1
NY

Other

Enumeration date
07/30/2008
Last updated
05/07/2012
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