PATRICK BIVONA

NEW YORK, NY
NPI1649649856
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  027261-1)
Additional Taxonomies122300000X Dentist
(Licence: CA  51167)
Enumeration Date2015-09-17
Last Update Date2015-09-17
Business Address
-- PATRICK BIVONA
345 EAST 24TH ST NYUCD
NEW YORK, NY 10010
Phone number: 212-998-9498
Mailing Address
-- PATRICK BIVONA
568 ALLWOOD RD APT 3
CLIFTON, NJ 07012-2136
Phone number: 909-938-3800