Individual
ABDULRAHMAN ESSAEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1775 GRAND CONCOURSE FL 6, BRONX, NY 10453-8202
(718) 901-8410
Mailing address
3320 RESERVOIR OVAL E APT 5A, BRONX, NY 10467-1781
(347) 323-9423
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4589
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2021
Last updated
05/11/2023
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