Individual
DR. SHAZIM FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3905 61ST ST, FLUSHING, NY 11377-3566
(718) 940-4404
Mailing address
1 STONLEA CT, NANUET, NY 10954-5927
(845) 709-0943
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
061023
NY
Other
Enumeration date
04/16/2017
Last updated
08/02/2021
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