Organization
NISHAT SHAHABUDDIN DMD PC
Active
Organization
NISHAT SHAHABUDDIN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHAT SHAHABUDDIN DMD (DIRECTOR)
(917) 757-0981
Entity
Organization
Contact information
Practice address
8552 168TH ST, JAMAICA, NY 11432-2652
(917) 757-0981
Mailing address
8552 168TH ST, JAMAICA, NY 11432-2652
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06285203
—
NY
01
—
1992319537
NPI
NY
Enumeration date
04/25/2022
Last updated
04/25/2022
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