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NPI Code Detail

MEDICARE: DR. BESA MARISENOJ DMD

MEDICARE:  DR. BESA  MARISENOJ  DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry054054NY

General Provider Information

NPI Number : 1316184500
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BESA MARISENOJ DMD
Provider Business Mailing Address
First Line : 621 KATAN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3422
Country : US
Telephone Number : 718-948-4000
Fax Number :
Provider Business Practice Location Address
First Line : 621 KATAN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-3422
Country : US
Telephone Number : 718-948-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2009
Last Update Date : 10/16/2020

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Directions to “ DR. BESA MARISENOJ DMD” Practice Location

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