# MARJANEH H. AZIN D.D.S DENTISTRY FOR CHILDREN AND ADOLESCENTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780975474
- **Authorized official:** MARJANEH HAGHPASSAND-AZIN D.D.S (DENTIST)
- **Authorized official phone:** (631) 427-1232

## Contact information

- **Practice address:** 118 NASSAU RD, HUNTINGTON, NY 11743-3614
- **Practice address phone:** (631) 427-1232
- **Practice address fax:** (631) 427-1211
- **Mailing address:** 118 NASSAU RD, HUNTINGTON, NY 11743-3614
- **Mailing address phone:** (631) 427-1232
- **Mailing address fax:** (631) 427-1211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 045301-1 | NY | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 04/28/2011