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General NPI Number Information
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NPI Number | 1851731210
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Entity Type | Individual
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Provider Name | HUSAM ALMUNAJED D.M.D., M.S.
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Gender | Male
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 11/09/2018
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Provider Practice Location Address
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Address Line | 16 E 52ND ST STE 401
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City | NEW YORK
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State | NY
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Zip | 10022-5306
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Country | US
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Telephone | 212-393-4650
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Fax |
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Provider Business Mailing Address
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Address Line | 2 STONE HOUSE RD
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City | SHELTON
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State | CT
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Zip | 06484-3702
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Country | US
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Telephone | 203-521-9308
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11062
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License Number State | CT
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