Healthcare Provider Details

I. General information

NPI: 1679220990
Provider Name (Legal Business Name): NORA SHOKRIAN DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2022
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8418 37TH AVE
JACKSON HEIGHTS NY
11372-7339
US

IV. Provider business mailing address

151 WESTCHESTER HALL
STONY BROOK NY
11794-8711
US

V. Phone/Fax

Practice location:
  • Phone: 718-426-3000
  • Fax:
Mailing address:
  • Phone: 631-444-2557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number06388801
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: