Individual
MAHTAB AZIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
433 E 56TH ST, #1D, NEW YORK, NY 10022-2432
(212) 355-2225
(212) 583-1150
Mailing address
433 E 56TH ST, #1D, NEW YORK, NY 10022-2432
(212) 355-2225
(212) 583-1150
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
043614
NY
Other
Enumeration date
02/10/2006
Last updated
10/09/2024
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