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Provider Information for 1588647259

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JAHANGIR MOZAFFARI D.D.S.

Gender: MALE

Individual NPI: 1588647259

Calendar   Last Updated:  2015-03-10
  Certification Date: 

Details

Name Value
NPI 1588647259
Enumeration Date 2005-11-26
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 364 W 117TH ST APT. 3D
NEW YORK, NY 10026-1559
United States

Phone: 212-749-9597 | Fax:
View Map External Link
Primary Practice Address 535 W 110TH ST SUITE 1G
NEW YORK, NY 10025-2086
United States

Phone: 212-749-9597 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 049621