Individual
DR. ALBERT RABIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2202 GRAND CONCOURSE, BRONX, NY 10457-2000
(718) 365-6389
Mailing address
20006 45TH DR, BAYSIDE, NY 11361-3016
(718) 365-6389
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040529-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500412
—
NY
Enumeration date
07/17/2007
Last updated
07/17/2007
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