NPI: 1861815730 · WHITESTONE, NY 11357 · Periodontist · NPI assigned 01/29/2014
| Authorized Official | DALESSANDRO, ANNA (MANAGER) |
| NPI Enumeration Date | 01/29/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 12 | $572.31 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9310 | 12 | 12 | $572.31 |