Provider Demographics
NPI:1366659112
Name:MAESTRE, MARY EVE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARY EVE
Middle Name:
Last Name:MAESTRE
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Gender:F
Credentials:DDS
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Mailing Address - Street 1:482 FORT WASHINGTON AVE
Mailing Address - Street 2:APT.3#C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-4655
Mailing Address - Country:US
Mailing Address - Phone:212-280-1700
Mailing Address - Fax:212-280-3447
Practice Address - Street 1:327 CENTRAL PARK W
Practice Address - Street 2:SUITE #1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7631
Practice Address - Country:US
Practice Address - Phone:212-280-1700
Practice Address - Fax:212-280-7224
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0490291223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics