| Nishat Shahabuddin Dmd Pc | |
|
8552 168th St Jamaica NY 11432-2652 | |
| (917) 757-0981 | |
| Not Available |
| Full Name | Nishat Shahabuddin Dmd Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 8552 168th St, Jamaica, New York |
| Authorized Official Name and Position | Nishat Shahabuddin (DIRECTOR) |
| Authorized Official Contact | 9177570981 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nishat Shahabuddin Dmd Pc 8552 168th St Jamaica NY 11432-2652 Ph: () - | Nishat Shahabuddin Dmd Pc 8552 168th St Jamaica NY 11432-2652 Ph: (917) 757-0981 |
| NPI Number | 1194469197 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194469197 | NPI | - | NPPES |
| 1992319537 | Other | NY | NPI |
| 06285203 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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