Provider Demographics
NPI:1043534167
Name:JAMALI, MAJID (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAJID
Middle Name:
Last Name:JAMALI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:42 BROADWAY
Mailing Address - Street 2:SUITE 1501
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10004-1617
Mailing Address - Country:US
Mailing Address - Phone:212-480-2777
Mailing Address - Fax:212-480-3777
Practice Address - Street 1:42 BROADWAY
Practice Address - Street 2:SUITE 1501
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10004-9992
Practice Address - Country:US
Practice Address - Phone:212-480-2777
Practice Address - Fax:212-480-3777
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-18
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY05271611223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery