Individual
FARNAZ HADAGHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 FERN DR, ROSLYN, NY 11576-2202
(516) 303-6797
Mailing address
90 FERN DR, ROSLYN, NY 11576-2202
(516) 303-6797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
062971
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2021
Last updated
06/29/2023
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