Individual
MIAN ZAHIR MANIKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1567 PITKIN AVE, BROOKLYN, NY 11212-4612
(718) 498-7677
Mailing address
1567 PITKIN AVE, BROOKLYN, NY 11212-4612
(718) 498-7677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
036341
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00001910-01
AMERICHOICE
NY
01
—
0011751
DORAL
NY
05
—
00654820
—
NY
Enumeration date
02/15/2007
Last updated
07/08/2007
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