Provider Demographics
NPI:1285851923
Name:AHAMAD, CASIMIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:CASIMIR
Middle Name:
Last Name:AHAMAD
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 WEST 123RD STREET
Mailing Address - Street 2:APT # 12 H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-5039
Mailing Address - Country:US
Mailing Address - Phone:917-770-1775
Mailing Address - Fax:212-953-9110
Practice Address - Street 1:230 PARK AVE
Practice Address - Street 2:SUITE 525
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10169-0005
Practice Address - Country:US
Practice Address - Phone:212-867-1188
Practice Address - Fax:212-953-9110
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0420311223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics