Mirfendereski, Payam
Mirfendereski, Payam is an sole proprietor health care provider with primary practice located at 345 E 24Th St , New York NY 10010-4020. He recently has 2 registered licenses in different health care specialties including Dental Providers / Oral Medicinist, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Mirfendereski, Payam can be contacted via phone (212) 998-9743.Contact Information
Primary practice address
345 E 24Th St
New York NY 10010-4020
Phone: (212) 998-9743
Fax: (212) 995-4767
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral Medicinist | 125Q00000X | 063834 | New York |
| Dental Providers / Dentist | 122300000X | 106713 | California |
| Dental Providers / Dentist | 122300000X | 063834 | New York |
Profile Details
| NPI number | 1912584764 |
|---|---|
| LBN Legal business name | Mirfendereski, Payam |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 26th, 2021 |
| Last updated | May 28th, 2024 - about last year |
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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