Individual
MELINEH ISSAYANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E 79TH ST APT 1B, NEW YORK, NY 10075-0982
(833) 929-2559
Mailing address
784 COLUMBUS AVE APT 6M, NEW YORK, NY 10025-5916
(301) 787-0487
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
06204701
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2020
Last updated
07/25/2022
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