Individual
DR. BABAK BEHMANESH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6354 FRESH POND RD, RIDGEWOOD, NY 11385-2613
(718) 418-5555
(718) 418-4817
Mailing address
6354 FRESH POND RD, RIDGEWOOD, NY 11385-2613
(718) 418-5555
(718) 418-4817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02701733
—
NY
Enumeration date
03/10/2009
Last updated
03/10/2009
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