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Organization
SOHELI ANAR AZAD DDS PC
Active
Organization
SOHELI ANAR AZAD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOHELI ANAR AZAD DDS (DENTIST)
(718) 672-5050
Entity
Organization
Contact information
Practice address
7017 37TH AVE, 1ST FLOOR, JACKSON HEIGHTS, NY 11372-3922
(718) 672-5050
(718) 565-5686
Mailing address
9902 220TH ST, PVT HOUSE, QUEENS VILLAGE, NY 11429-1614
(718) 672-5050
(718) 565-5686
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047363
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01831667
—
NY
01
—
1093924755
SOLE PROPEITOR NPI
NY
Enumeration date
11/02/2012
Last updated
11/02/2012
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