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NPI Code Detail

MEDICARE: DR. ZEBUNNESSA HUSAIN MORAL D.D.S.

MEDICARE: DR. ZEBUNNESSA HUSAIN MORAL 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
1122300000XDentist053550-1NY

General Provider Information

NPI Number : 1588858237
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ZEBUNNESSA HUSAIN MORAL D.D.S.
Provider Business Mailing Address
First Line : 4405 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10040-4014
Country : US
Telephone Number : 917-270-0920
Fax Number : 917-270-0920
Provider Business Practice Location Address
First Line : 4405 BROADWAY
Second Line :
City : NEW YORK
State : NY
Zip : 10040-4014
Country : US
Telephone Number : 917-270-0920
Fax Number : 917-270-0920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/05/2007
Last Update Date : 07/09/2009

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