Individual
DR. MAIRAJ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
918 PELHAM PKWY S, #3, BRONX, NY 10462-1144
(718) 684-3131
(718) 684-3132
Mailing address
918 PELHAM PKWY S, #3, BRONX, NY 10462-1144
(718) 684-3131
(718) 684-3132
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051790
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02646995
—
NY
Enumeration date
01/29/2007
Last updated
08/13/2012
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