Individual
DANIIL PAYZIYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
7736 167TH ST, FRESH MEADOWS, NY 11366-1304
(646) 420-2825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
UNKNOWN
MD
1223G0001X
General Practice Dentistry
Primary
11357
CT
Other
Enumeration date
02/12/2014
Last updated
06/23/2015
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