Individual
FARIDEH KIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
595 MADISON AVE, 2500, NEW YORK, NY 10022-1907
(212) 390-0280
Mailing address
595 MADISON AVE, 2500, NEW YORK, NY 10022-1907
(212) 390-0280
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
057497
NY
Other
Enumeration date
09/21/2014
Last updated
11/17/2016
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