Provider Demographics
NPI:1336317528
Name:HAKIMI, FARHAD (DMD)
Entity Type:Individual
Prefix:DR
First Name:FARHAD
Middle Name:
Last Name:HAKIMI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CENTRAL PARK S
Mailing Address - Street 2:SUITE 1 C/D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-1560
Mailing Address - Country:US
Mailing Address - Phone:212-753-2654
Mailing Address - Fax:212-245-6450
Practice Address - Street 1:120 CENTRAL PARK S
Practice Address - Street 2:SUITE 1 C/D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1560
Practice Address - Country:US
Practice Address - Phone:212-753-2654
Practice Address - Fax:212-245-6450
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0335281223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics