Individual
DR. MICHAEL BEHROUZIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
29 W 19TH ST, NEW YORK, NY 10011-4232
(212) 675-7877
(212) 633-6961
Mailing address
29 W 19TH ST, NEW YORK, NY 10011-4232
(818) 640-1037
(212) 633-6961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061279
NY
Other
Enumeration date
04/07/2019
Last updated
07/26/2022
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