Individual
DR. AFSHAN HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
565 W 125TH ST, NEW YORK, NY 10027-3424
(212) 470-1000
(800) 604-6146
Mailing address
11304 JEWEL AVE, FOREST HILLS, NY 11375-3953
(718) 575-3221
(718) 268-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051076 1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02522741
—
NY
Enumeration date
11/16/2005
Last updated
04/03/2013
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