Provider Demographics
NPI:1285973420
Name:EMANUELA CORIELLI DDS, PC
Entity type:Organization
Organization Name:EMANUELA CORIELLI DDS, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD OF PRACTICE
Authorized Official - Prefix:DR
Authorized Official - First Name:EMANUELA
Authorized Official - Middle Name:FRANCESCA
Authorized Official - Last Name:CORIELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-355-7760
Mailing Address - Street 1:1317 3RD AVE
Mailing Address - Street 2:FL. 10
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-2995
Mailing Address - Country:US
Mailing Address - Phone:212-355-7760
Mailing Address - Fax:212-355-7761
Practice Address - Street 1:1317 3RD AVE
Practice Address - Street 2:FL. 10
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2995
Practice Address - Country:US
Practice Address - Phone:212-355-7760
Practice Address - Fax:212-355-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047460-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty