Individual
MINA FARID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 YUCCA DR, STATEN ISLAND, NY 10312-1634
(646) 251-8337
Mailing address
302 N WASHINGTON AVE STE W102, MOORESTOWN, NJ 08057-2450
(856) 222-3445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
060874-01
NY
122300000X
Dentist
Primary
22DI02757400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2018
Last updated
10/27/2023
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