Individual
MAKAN DELRAHIM NIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
(718) 250-8000
Mailing address
121 DEKALB AVE, BROOKLYN, NY 11201-5493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062718
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
04/09/2023
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