Individual
AUSTIN KHORASANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 SUNRISE HWY W STE 13B, PATCHOGUE, NY 11772-2370
(631) 983-2937
Mailing address
499 SUNRISE HWY W STE 13B, PATCHOGUE, NY 11772-2370
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064122
NY
Other
Enumeration date
02/06/2023
Last updated
03/28/2025
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