Nishat Shahabuddin Dmd Pc | |
8552 168th St Jamaica NY 11432-2652 | |
(917) 757-0981 | |
Not Available |
Full Name | Nishat Shahabuddin Dmd Pc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 8552 168th St, Jamaica, New York |
Authorized Official Name and Position | Nishat Shahabuddin (DIRECTOR) |
Authorized Official Contact | 9177570981 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Nishat Shahabuddin Dmd Pc 8552 168th St Jamaica NY 11432-2652 Ph: () - | Nishat Shahabuddin Dmd Pc 8552 168th St Jamaica NY 11432-2652 Ph: (917) 757-0981 |
NPI Number | 1194469197 |
---|---|
Provider Enumeration Date | 04/25/2022 |
Last Update Date | 04/25/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194469197 | NPI | - | NPPES |
1992319537 | Other | NY | NPI |
06285203 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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