Mairzadeh, Farinaz Golda

Mairzadeh, Farinaz Golda is an individual health care provider with primary practice located at 10 Dicks Ln , Roslyn NY 11576-2004. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Mairzadeh, Farinaz Golda can be contacted via phone (917) 207-5634.

Contact Information

Primary practice address
10 Dicks Ln Roslyn NY 11576-2004
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 054006 New York

Profile Details

NPI number 1538325865
LBN Legal business name Mairzadeh, Farinaz Golda
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Feb 25th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538325865 NPPES
New York MEDICAID 03034457

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