Whalio Doctors

NPI 1568037703

Traci Marie Lew, DA

Practitioner Dental Assistant New York, NY

Practice location

Address
176 Grand St, New York, NY 10013-3786
Phone
(973) 919-6160
Mailing address
10 Tremont Ter, Livingston, NJ 07039-3208

Registered specialties

Dental Assistant Primary
Dental Providers Taxonomy 126800000X

Registry record

NPI
1568037703
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 May 2021
Record last updated
14 Aug 2024

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.