Provider Demographics
NPI:1871900415
Name:FIGUEROA, VANESSA (RDH)
Entity type:Individual
Prefix:MS
First Name:VANESSA
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 METROPOLITAN AVE
Mailing Address - Street 2:SUITE 6D
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-6964
Mailing Address - Country:US
Mailing Address - Phone:347-739-7081
Mailing Address - Fax:
Practice Address - Street 1:1700 METROPOLITAN AVE
Practice Address - Street 2:SUITE 6D
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-6964
Practice Address - Country:US
Practice Address - Phone:347-739-7081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023499-1124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist