Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | 026015 | NY |
NPI | 1053643908 |
---|---|
Provider Name | Ms. Zoila M Cedacero |
First Address | Bronx, NY 10458-3915 |
Second Address | Mount Vernon, NY 10550 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2010 |
Last Update Date | 03/02/2010 |