Individual
MR. FAKHRELDIN H OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1871 ARCHER ST, BRONX, NY 10460
(748) 904-1611
(718) 904-1177
Mailing address
539 LIBERTY AVE, JERSEY CITY, NJ 07307
(201) 420-7147
(718) 904-1177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38279
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00822000
—
NY
Enumeration date
11/27/2006
Last updated
07/08/2007
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