Individual
DR. JAYASREE KESAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
4 MINEOLA BLVD, WILLISTON PARK, NY 11596-2246
(516) 747-7075
Mailing address
4 MINEOLA BLVD, WILLISTON PARK, NY 11596-2246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052926
NY
Other
Enumeration date
05/15/2007
Last updated
01/31/2017
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