Individual
DR. FARANAK BALAZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
7017 AUSTIN ST, 3D, FOREST HILLS, NY 11375-4722
(718) 544-4440
(718) 233-2723
Mailing address
7017 AUSTIN ST, 3D, FOREST HILLS, NY 11375-4722
(718) 544-4440
(718) 233-2723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048224
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02117742
—
NY
Enumeration date
11/16/2006
Last updated
07/08/2007
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