| Babak Behmanesh Dds Pc | |
|
63-54 Fresh Pond Rd Ridgewood NY 11385 | |
| (718) 418-5555 | |
| (718) 418-4817 |
| Full Name | Babak Behmanesh Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 63-54 Fresh Pond Rd, Ridgewood, New York |
| Authorized Official Name and Position | Babak Behmanesh (OWNER) |
| Authorized Official Contact | 7184185555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Babak Behmanesh Dds Pc 63-54 Fresh Pond Rd Ridgewood NY 11385 Ph: (718) 418-5555 | Babak Behmanesh Dds Pc 63-54 Fresh Pond Rd Ridgewood NY 11385 Ph: (718) 418-5555 |
| NPI Number | 1215904719 |
|---|---|
| Provider Enumeration Date | 03/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215904719 | NPI | - | NPPES |
| 02701733 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050174 (New York) | Primary |
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