Provider Demographics
NPI:1114398369
Name:DE PAIVA BUISCHI, YVONNE APARECIDA (DDS)
Entity Type:Individual
Prefix:MS
First Name:YVONNE
Middle Name:APARECIDA
Last Name:DE PAIVA BUISCHI
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 1:726 BROADWAY
Mailing Address - Street 2:SUITE #350
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-443-1300
Mailing Address - Fax:212-443-1331
Practice Address - Street 1:726 BROADWAY
Practice Address - Street 2:SUITE #350
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-443-1300
Practice Address - Fax:212-443-1331
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000055-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist