Active NPIIndividual provider

Ida Anjomshoaa

Dentist, Oral and Maxillofacial Surgery in Jackson Heights, New York

NPI Number1316284763
Practice location
3353 82ND St, A01, Jackson Heights, NY 11372-1447
Fax
—
Last updated
March 17, 2016

Ida Anjomshoaa is a Dentist, Oral and Maxillofacial Surgery based in Jackson Heights, NY. Ida Anjomshoaa practices in Jackson Heights, NY. The NPI Number for Ida Anjomshoaa is 1316284763 and holds a License No. 058065 (NY). The current practice location address for Ida Anjomshoaa is 3353 82ND St, A01, Jackson Heights, NY 11372-1447 and can be reached out via phone at 718-899-7811.

Provider Profile Details

NPI Number
1316284763
Provider Name
Ida Anjomshoaa
Provider Entity Type
Individual
Gender
Female
Address
3353 82ND St, A01, Jackson Heights, NY 11372-1447
Phone Number
718-899-7811
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
No
Provider Enumeration Date
January 4, 2013
Last Update Date
March 17, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
3353 82ND St
A01
Jackson Heights, NY 11372-1447
Zip
11372-1447
Phone Number
718-899-7811
Jackson Heights, NY 11372Get directions →

Provider Business Mailing Address Details

Address
306 Mott St
Apt #4c
New York, NY 10012
City
New York
State
NY
Zip
10012
Phone Number
718-899-7811

License Information

License Number
058065
License State
NY
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ida Anjomshoaa?

The NPI number of Ida Anjomshoaa is 1316284763. It was assigned on January 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Ida Anjomshoaa?

Ida Anjomshoaa is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NY under license number 058065.

Where does Ida Anjomshoaa practice?

The practice location is 3353 82ND St, A01, Jackson Heights, NY 11372-1447. The office can be reached at 718-899-7811 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316284763 directly on the NPPES registry website.

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