MEDICARE: RANA MUNEERUDDIN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	045046	NY

General Provider Information

NPI Number	:	1225157688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RANA MUNEERUDDIN DDS

Provider Business Mailing Address
First Line	:	73 FRANKLIN AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010
Country	:	US
Telephone Number	:	516-488-8261
Fax Number	:	516-887-5715

Provider Business Practice Location Address
First Line	:	73 FRANKLIN AVE
Second Line	:
City	:	FRANKLIN SQUARE
State	:	NY
Zip	:	11010-2523
Country	:	US
Telephone Number	:	516-488-8261
Fax Number	:	516-887-5715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/08/2007

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Directions to “ RANA MUNEERUDDIN DDS” Practice Location

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