Azita Anissi Dds | |
121 Sullys Trail Suite 1 Pittsford NY 14534 | |
(585) 267-7745 | |
(585) 267-7748 |
Full Name | Azita Anissi Dds |
---|---|
Speciality | Dentist - General Practice |
Location | 121 Sullys Trail Suite 1, Pittsford, New York |
Authorized Official Name and Position | Azita Anissi (DENTIST) |
Authorized Official Contact | 5852677745 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Azita Anissi Dds 121 Sullys Trail Suite 1 Pittsford NY 14534 Ph: (585) 267-7745 | Azita Anissi Dds 121 Sullys Trail Suite 1 Pittsford NY 14534 Ph: (585) 267-7745 |
NPI Number | 1619448990 |
---|---|
Provider Enumeration Date | 12/11/2018 |
Last Update Date | 12/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619448990 | NPI | - | NPPES |
01343544 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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