Individual
DR. JERRY ASHRAFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
180 W END AVE APT 1D, NEW YORK, NY 10023-4917
(212) 362-5517
(212) 787-9588
Mailing address
180 W END AVE APT 1E, NEW YORK, NY 10023-4917
(617) 910-7106
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056125-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2011
Last updated
07/17/2024
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