Individual
FAROOQ ISMAIL AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
(718) 361-5155
Mailing address
3711 QUEENS BLVD, LONG ISLAND CITY, NY 11101-1725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054415
NY
Other
Enumeration date
08/06/2009
Last updated
12/11/2018
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