NICOLE PROVENZANO

ASTORIA, NY
NPI1952591661
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: NY  050787)
Enumeration Date2007-07-29
Last Update Date2016-11-16
Business Address
Dr. NICOLE PROVENZANO dds
3156 STEINWAY ST
ASTORIA, NY 11103-3909
Phone number: 718-721-4700
Mailing Address
Dr. NICOLE PROVENZANO dds
8046 JAMAICA AVE
WOODHAVEN, NY 11421-1901
Phone number: 718-296-8100
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