Individual
MICHELLE RABIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
19 CRICKETT LN, GREAT NECK, NY 11024-1004
(516) 320-9978
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061980
NY
Other
Enumeration date
05/13/2020
Last updated
06/04/2024
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