Healthcare Provider Details

I. General information

NPI: 1982133716
Provider Name (Legal Business Name): CAMILLE ANNE DAYRIT FINEZA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2017
Last Update Date: 11/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 E POST RD
WHITE PLAINS NY
10601-4910
US

IV. Provider business mailing address

129 VREELAND AVE
BERGENFIELD NJ
07621-1930
US

V. Phone/Fax

Practice location:
  • Phone: 914-946-5437
  • Fax:
Mailing address:
  • Phone: 12016961673
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number060720
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: