Organization
FAIQ DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM FAIQ DDS (OWNER)
(631) 238-2200
Entity
Organization
Contact information
Practice address
1775 GREAT NECK RD UNIT C, COPIAGUE, NY 11726-2703
(631) 238-2200
Mailing address
1775 GREAT NECK RD UNIT C, COPIAGUE, NY 11726-2703
(631) 238-2200
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05501560
—
NY
Enumeration date
06/27/2022
Last updated
06/27/2022
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