Nabatian, Azadeh
Nabatian, Azadeh is an sole proprietor health care provider with primary practice located at 155 Overlook Ave , Great Neck NY 11021-3830. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Nabatian, Azadeh can be contacted via phone (516) 487-4352.Contact Information
Primary practice address
155 Overlook Ave
Great Neck NY 11021-3830
Phone: (516) 487-4352
Fax: (516) 487-4352
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 052759 | New York |
Profile Details
| NPI number | 1356483002 |
|---|---|
| LBN Legal business name | Nabatian, Azadeh |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | Aug 17th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356483002 | NPPES |
| New York | MEDICAID | 02799306 |
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