Individual
DILRUBA ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1973 UNIVERSITY AVE., BRONX, NY 10453
(718) 299-2087
Mailing address
5501 15TH AVE, APT. 3K, BROOKLYN, NY 11219-4353
(718) 435-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043877
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01315764
—
NY
Enumeration date
05/07/2007
Last updated
07/08/2007
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