Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 048596-1 | NY |
NPI | 1053586404 |
---|---|
Provider Name | Dr. Nima Dayani |
First Address | New York, NY 10036 |
Second Address | New York, NY 10036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 30/09/2014 |