Individual
DR. ASHFAK UDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 WICKHAM AVE, MIDDLETOWN, NY 10940-3714
(315) 624-6227
(845) 344-0076
Mailing address
1225 WHITE PLAINS RD APT 328, BRONX, NY 10472-4921
(347) 381-0597
(845) 344-0076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057445
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00384309
—
NY
Enumeration date
06/28/2013
Last updated
11/06/2014
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