Provider Demographics
NPI:1568767440
Name:OCANDO, VENEUSKA MARGARITA (DDS)
Entity Type:Individual
Prefix:
First Name:VENEUSKA
Middle Name:MARGARITA
Last Name:OCANDO
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 1:55 E 9TH ST
Mailing Address - Street 2:SUITE 1K
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-6311
Mailing Address - Country:US
Mailing Address - Phone:212-388-1170
Mailing Address - Fax:212-388-1181
Practice Address - Street 1:55 E 9TH ST
Practice Address - Street 2:SUITE 1K
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-6311
Practice Address - Country:US
Practice Address - Phone:212-388-1170
Practice Address - Fax:212-388-1181
Is Sole Proprietor?:No
Enumeration Date:2011-01-24
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10363122300000X
NY0576991223P0700X
CT113111223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist