Individual
IMRAN AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5800 3RD AVE, BROOKLYN, NY 11220-3702
(718) 630-8573
(718) 630-8714
Mailing address
351 BAY RIDGE AVE, BROOKLYN, NY 11220-5314
(347) 864-5689
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060502
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2018
Last updated
08/19/2019
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