Individual
DR. FARIAH MAMOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
6040 JERICHO TPKE, COMMACK, NY 11725-2806
(631) 462-0300
Mailing address
6040 JERICHO TPKE, COMMACK, NY 11725-2806
(631) 462-0300
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
059456
NY
Other
Enumeration date
04/18/2016
Last updated
07/21/2022
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