Bakhshoudeh, Bobak

Bakhshoudeh, Bobak is an individual health care provider with primary practice located at 25 Tudor City Pl Apt 2122, New York NY 10017-6819. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Endodontics. Dental Providers / Endodontics is his primary health care specialty. Bakhshoudeh, Bobak can be contacted via phone (631) 880-2208.

Contact Information

Primary practice address
25 Tudor City Pl Apt 2122 New York NY 10017-6819
Phone: (631) 880-2208
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 057492-1 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New York
Dental Providers / Endodontics 1223E0200X 057492-1 New York

Profile Details

NPI number 1053756205
LBN Legal business name Bakhshoudeh, Bobak
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2013
Last updated Jun 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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