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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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