Individual
UNNATI AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
137 WILLOWBROOK RD, STATEN ISLAND, NY 10302-2404
(718) 448-1144
Mailing address
68 GELDNER AVE, STATEN ISLAND, NY 10306-1365
(347) 693-4472
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
P63939
NY
1223G0001X
General Practice Dentistry
P63939
NY
1223P0300X
Periodontics
Primary
054629
NY
1223P0300X
Periodontics
22DI02544500
NJ
Other
Enumeration date
07/05/2008
Last updated
10/17/2013
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