Individual
DR. AHMAD ALI HEDAYATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
351 ELM RD, BRIARCLIFF MANOR, NY 10510-2207
(914) 441-4169
Mailing address
351 ELM RD, BRIARCLIFF MANOR, NY 10510-2207
(914) 441-4169
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
040333
NY
Other
Enumeration date
05/17/2007
Last updated
03/05/2014
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