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1417539305
MIRIAM R IVRY
FLUSHING, NY
NPI
1417539305
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
Dr. MIRIAM R IVRY DDS
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-732-1540
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Mailing Address
Dr. MIRIAM R IVRY DDS
6767 BURNS ST APT 2K
FOREST HILLS, NY 11375-3503
Phone number: 516-587-1120
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