Provider Demographics
NPI:1518172964
Name:ARAM CAZAZIAN D.D.S., PC
Entity Type:Organization
Organization Name:ARAM CAZAZIAN D.D.S., PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARAM
Authorized Official - Middle Name:PARANUG
Authorized Official - Last Name:CAZAZIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-423-7009
Mailing Address - Street 1:21204 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2813
Mailing Address - Country:US
Mailing Address - Phone:718-423-7009
Mailing Address - Fax:718-225-1516
Practice Address - Street 1:21204 42ND AVE
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2813
Practice Address - Country:US
Practice Address - Phone:718-423-7009
Practice Address - Fax:718-225-1516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY019323-1124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Single Specialty