Search › New York › 124Q00000X
Candice Superville Drakes
NPI 1235858861 · on the registry since 2022
Practice
- Address
- 131 W 110th St Apt 1b
New York, NY 10026 - Phone
- (212) 678-1944
- Organisation at this address
- Amarilis Jacobo Dental Office Pc
Open Bright Pediatric Dentistry P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 124Q00000X
124Q00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York