Healthcare Provider Details

I. General information

NPI: 1710500657
Provider Name (Legal Business Name): NARINA MELIKYAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2020
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8028 COOPER AVE STE 207
GLENDALE NY
11385-7711
US

IV. Provider business mailing address

2678 OCEAN AVE APT 2K
BROOKLYN NY
11229-4686
US

V. Phone/Fax

Practice location:
  • Phone: 718-894-2110
  • Fax:
Mailing address:
  • Phone: 646-578-3863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number062141
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: