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1649649856
PATRICK BIVONA
NEW YORK, NY
NPI
1649649856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: NY 027261-1)
Additional Taxonomies
122300000X Dentist
(Licence: CA 51167)
Enumeration Date
2015-09-17
Last Update Date
2015-09-17
Business Address
-- PATRICK BIVONA
345 EAST 24TH ST NYUCD
NEW YORK, NY 10010
Phone number: 212-998-9498
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Mailing Address
-- PATRICK BIVONA
568 ALLWOOD RD APT 3
CLIFTON, NJ 07012-2136
Phone number: 909-938-3800
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