Individual
DR. FARHAD MIRABRISHAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5690
Mailing address
215 E 95TH ST, 7E, NEW YORK, NY 10128-4077
(973) 970-5355
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0000
NY
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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