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NPI Code Detail

MEDICARE: DR. ROIS MIAH BARI D.D.S.

MEDICARE: DR. ROIS MIAH BARI D.D.S.
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
1122300000XDentist036548NY

General Provider Information

NPI Number : 1457449456
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROIS MIAH BARI D.D.S.
Provider Business Mailing Address
First Line : 25-301 BARKER ST
Second Line :
City : MOUNT KISCO
State : NY
Zip : 10549-1631
Country : US
Telephone Number : 914-666-5883
Fax Number :
Provider Business Practice Location Address
First Line : 1225 GERARD AVE
Second Line :
City : BRONX
State : NY
Zip : 10452-8001
Country : US
Telephone Number : 718-960-2853
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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