Individual
AZADEH MAY DIANAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY RM 2C319, BROOKLYN, NY 11206-5317
(718) 963-8310
(718) 630-3244
Mailing address
225 BROADWAY STE 101, NEW YORK, NY 10007-3911
(212) 732-7400
(212) 732-0238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060417
NY
Other
Enumeration date
04/16/2018
Last updated
09/23/2019
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