Provider Demographics
NPI:1962512756
Name:CEDENO-NAY, LILIAM RUTH (DDS)
Entity type:Individual
Prefix:MRS
First Name:LILIAM
Middle Name:RUTH
Last Name:CEDENO-NAY
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 WEST 11TH STREET
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746
Mailing Address - Country:US
Mailing Address - Phone:631-423-0298
Mailing Address - Fax:631-427-1568
Practice Address - Street 1:26 W 11TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-1618
Practice Address - Country:US
Practice Address - Phone:631-423-0298
Practice Address - Fax:631-427-1568
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048312-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist