Individual
DR. FARINAZ GOLDA MAIRZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
10 DICKS LN, ROSLYN, NY 11576-2004
(917) 207-5634
Mailing address
10 DICKS LN, ROSLYN, NY 11576-2004
(917) 207-5634
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054006
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03034457
—
NY
Enumeration date
08/06/2008
Last updated
02/25/2014
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