Organization
EMMET DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL YOUSEFNEJAD KORORI DDS (PRESIDENT)
(718) 657-4838
Entity
Organization
Contact information
Practice address
8902 165TH ST, MW 29, JAMAICA, NY 11432
(718) 657-4838
(718) 657-0099
Mailing address
8902 165TH ST, MW 29, JAMAICA, NY 11432
(718) 657-4838
(718) 657-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050370
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02360025
—
NY
Enumeration date
08/04/2006
Last updated
08/22/2020
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