Individual
AZITA K ELYADERANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
506 MALCOLM X BLVD, NEW YORK, NY 10037-1802
(412) 977-2288
Mailing address
118 HUNTER DR, CRANBERRY TWP, PA 16066-7604
(412) 977-2288
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056177
NY
Other
Enumeration date
06/03/2012
Last updated
11/20/2025
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