Individual
LILY FAYZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 E 54TH ST APT 6H, NEW YORK, NY 10022-5085
(773) 870-2045
Mailing address
311 E 54TH ST APT 6H, NEW YORK, NY 10022-5085
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
019.033706
IL
1223P0700X
Prosthodontics
Primary
064612
NY
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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