Individual
DR. MARYAM EDALAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30 CENTRAL PARK S RM 4C, NEW YORK, NY 10019-1628
(212) 371-0360
Mailing address
30 CENTRAL PARK S RM 4C, NEW YORK, NY 10019-1628
(212) 371-0360
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
044327
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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