NPI 1093728339

Purita Episcope Ambat, DMD

Practitioner General Practice Physician Brooklyn, NY

Practice location

Address: 749 Grand Street, Brooklyn, NY 11211
Phone: (718) 388-7007
Fax: (718) 388-7007

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 036611 (NY)

Other General Practice providers in New York →

Registry record

NPI: 1093728339
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.