Individual
DR. MARIAM ZADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
102 E 81ST ST, NEW YORK, NY 10028-1409
(347) 960-4832
Mailing address
3 BRIARS CORS, BRIARCLIFF MANOR, NY 10510-1735
(914) 610-9445
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
063305
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
04/01/2024
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