Individual
DR. FARANAK VOSSUGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
18 THIELLS MOUNT IVY RD, POMONA, NY 10970-3020
(845) 290-6003
Mailing address
18 THIELLS MOUNT IVY RD, POMONA, NY 10970-3020
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
050771
NY
Other
Enumeration date
11/05/2007
Last updated
07/18/2012
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