Khoshnevisan, Mohammad Amin

Khoshnevisan, Mohammad Amin is an sole proprietor health care provider with primary practice located at 630 W 168Th St Rm 250 , New York NY 10032-3725. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Khoshnevisan, Mohammad Amin can be contacted via phone (212) 342-0424.

Contact Information

Primary practice address
630 W 168Th St Rm 250 New York NY 10032-3725
Phone: (212) 342-0424
Fax: (212) 305-9017
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 30.026201 Ohio
Dental Providers / Dentist 122300000X DS042004 Pennsylvania
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 018001949 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 062474 New York

Profile Details

NPI number 1114308855
LBN Legal business name Khoshnevisan, Mohammad Amin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2015
Last updated Aug 1st, 2022 - about 4 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.

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