Individual
IMAD E AYOUBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 E 55TH ST, SUITE 206, NEW YORK, NY 10022-4038
(212) 582-2722
(212) 582-2534
Mailing address
155 E 55TH STREET, SUITE 206, NEW YORK, NY 10022
(212) 582-2722
(212) 582-2534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
048073
NY
Other
Enumeration date
10/14/2009
Last updated
10/14/2009
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