Azita Anissi Dds

LBN: Azita Anissi Dds
Azita Anissi Dds is an health care organization with primary practice located at 121 Sullys Trail Suite 1 , Pittsford NY 14534. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Azita Anissi Dds can be contacted via phone (585) 267-7745, or through Anissi, Azita via phone (585) 267-7745.

Contact Information

Primary practice address
121 Sullys Trail Suite 1 Pittsford NY 14534
Phone: (585) 267-7745
Fax: (585) 267-7748
Website:
Map and Directions
Authorized official contact:
Name: Anissi, Azita Doctor of Dental Surgery (DDS)
Phone: (585) 267-7745

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1619448990
LBN Legal business name Azita Anissi Dds
DBA Doing business as
Authorized official Anissi, Azita Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2018
Last updated Dec 11th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619448990 NPPES
New York MEDICAID 01343544

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