Individual
NIAZ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3905 61ST ST, WOODSIDE, NY 11377-3566
(718) 577-5069
Mailing address
3905 61ST ST, WOODSIDE, NY 11377-3566
(646) 725-5616
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
063286
NY
Other
Enumeration date
03/31/2021
Last updated
03/29/2024
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