MEDICARE: MANOOCHER NAJAFI DDS PC

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	311041	NY

General Provider Information

NPI Number	:	1417029844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MANOOCHER NAJAFI DDS PC

Provider Business Mailing Address
First Line	:	1751 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10460-4943
Country	:	US
Telephone Number	:	718-589-9562
Fax Number	:	718-617-4071

Provider Business Practice Location Address
First Line	:	1751 BOSTON RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10460-4943
Country	:	US
Telephone Number	:	718-589-9562
Fax Number	:	718-617-4071

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. MANOOCHER NAJAFI
Credential	:
Telephone Number	:	718-589-9562

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	08/22/2020

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