Organization
CLEMENTE ORTHODONTICS OF NEW YORK PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GINA GIANNATTASIO (OFFICE MANAGER)
(845) 638-6646
Entity
Organization
Contact information
Practice address
603 ROUTE 304, NEW CITY, NY 10956-2919
(845) 638-6646
(845) 638-6696
Mailing address
603 ROUTE 304, NEW CITY, NY 10956-2919
(845) 638-6646
(845) 638-6696
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
029366
NY
Other
Enumeration date
02/25/2014
Last updated
02/25/2014
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