Khorsandi, Jan A
Khorsandi, Jan A is an individual health care provider with primary practice located at 1874 Clove Rd , Staten Island NY 10304-1637. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Khorsandi, Jan A can be contacted via phone (718) 273-0212.Contact Information
Primary practice address
1874 Clove Rd
Staten Island NY 10304-1637
Phone: (718) 273-0212
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 051098L | New York |
Profile Details
| NPI number | 1619951647 |
|---|---|
| LBN Legal business name | Khorsandi, Jan A |
| Credentials | DMD PC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619951647 | NPPES |
| New York | MEDICAID | 02617999 |
Popular Providers
-
Sheen, David
201 Edward Curry Avenue, Suite 101 , Staten Island NY 10314 -
Arbit, Inna
475 Seaview Ave , Staten Island NY 10305-3436 -
Mandell, Barry
104 Russek Dr , Staten Island NY 10312-1630 -
Sakthivelu, Alexander
475 Seaview Ave , Staten Island NY 10305-3436 -
Golyand, Stanislav
4032 Richmond Ave , Staten Island NY 10312-5113 -
Savelyev, Mariana
900 South Ave Suite 301, Staten Island NY 10314-3418 -
Sundaram, Padma
57 Bay St Fl 1 , Staten Island NY 10301-2510 -
Zaky, Ramez
3102 Hylan Blvd , Staten Island NY 10306-4124