Individual
DR. SEYED IMAN MIZANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
630 W 168TH ST, NEW YORK, NY 10032-3725
(212) 305-0000
Mailing address
248 W 102ND ST APT 4B, NEW YORK, NY 10025-4927
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
060996
NY
1223P0300X
Periodontics
Primary
060996
NY
Other
Enumeration date
08/20/2021
Last updated
05/22/2026
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