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Contact Information

PAYAM MIRFENDERESKI
345 E 24TH ST
NEW YORK, NY10010-4020
 Phone: 212-998-9743
 Fax: 212-995-4767
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Oral Medicinist

125Q00000X
Indicates primary specialty

NPI Profile & details for PAYAM MIRFENDERESKI · (Male)

NPI Number 1912584764
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2021
Last updated 05/28/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 106713
  • NY License # 063834
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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