Individual
DR. HOOMAN KHORRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
610 W 185TH ST, NEW YORK, NY 10033-3101
(212) 927-4343
(212) 740-2027
Mailing address
1871 AMSTERDAM AVE, NEW YORK, NY 10031-1711
(212) 690-1040
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045853
NY
Other
Enumeration date
03/11/2008
Last updated
12/01/2009
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