Individual
DR. NASSIM KOHLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
132 E 35TH ST, NEW YORK, NY 10016-3892
(212) 736-3676
Mailing address
320 E 42ND ST APT 1207, NEW YORK, NY 10017-5963
(347) 989-6103
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02670100
NJ
1223E0200X
Endodontics
Primary
059980
NY
Other
Enumeration date
07/01/2017
Last updated
10/03/2018
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