Organization
EMANUEL MIZRAHI DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMANUEL MIZRAHI D.D.S. (PRESIDENT)
(718) 897-6666
Entity
Organization
Contact information
Practice address
10821 69TH RD, FOREST HILLS, NY 11375-3839
(718) 897-6666
(718) 263-7678
Mailing address
10821 69TH RD, FOREST HILLS, NY 11375-3839
(718) 897-6666
(718) 263-7678
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
042835
NY
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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