Organization
BMI CLINIC CORP
Active
Other names
Intrimma
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI JOHN JAZAYERI DDS (MANAGER)
(917) 528-1092
Entity
Organization
Contact information
Practice address
25325 NORTHERN BLVD, LITTLE NECK, NY 11362-1458
(917) 528-1092
Mailing address
25325 NORTHERN BLVD, LITTLE NECK, NY 11362-1458
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
Primary
053328
NY
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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