Dr. Antonio Ardisana, D.D.S.
Dentist, General Practice in Elmhurst, NY. Individual provider (NPI-1).
NPI number1861693871
StatusActive
Last updated in NPPESAug 8, 2019
Details
- NPI
- 1861693871
- Entity type
- Individual (NPI-1)
- Name
- Dr. Antonio Ardisana
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 29, 2007
- Last updated
- Aug 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 034831 | NY | Yes |
Other names
- Anthony Ardisana (Former Name)
Practice location
8710 Grand AveElmhurst, NY 11373-4444
Phone 718-429-8300 · Fax 516-822-2396
Mailing address
37 Triangle RdLiberty, NY 12754
Phone 845-292-3900
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