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General NPI Number Information
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NPI Number | 1528104825
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Entity Type | Individual
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Provider Name | GEORGE J. CISNEROS DMD
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2016 BRONXDALE AVE
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City | BRONX
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State | NY
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Zip | 10462-3388
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Country | US
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Telephone | 718-792-7972
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Fax |
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Provider Business Mailing Address
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Address Line | 4528 BOSTON POST RD
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City | PELHAM
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State | NY
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Zip | 10803-2801
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Country | US
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Telephone | 914-738-8141
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Fax | 212-995-4852
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 037341
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 037341
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License Number State | NY
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