Individual
DR. EHSAN FARROKHMANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2508
(713) 630-7000
Mailing address
65 N 6TH ST APT 2D, BROOKLYN, NY 11249-3266
(134) 745-8350
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
058676
NY
Other
Enumeration date
02/02/2016
Last updated
12/30/2018
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