Individual
FARIYA ISLAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7120
(718) 470-7120
Mailing address
27005 76TH AVE, NEW HYDE PARK, NY 11040-1402
(718) 470-7120
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060580
NY
Other
Enumeration date
02/15/2018
Last updated
01/22/2020
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