Individual
BABAK ROBERT GHALILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
230 PARK AVENUE, SUITE 1164, NEW YORK, NY 10169
(212) 750-3388
(212) 697-3005
Mailing address
248 DALY ROAD, E NORTH PORT, NY 11731
(631) 499-6197
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
043014
NY
Other
Enumeration date
05/15/2007
Last updated
07/23/2015
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