Provider Demographics
NPI:1568674471
Name:NINA KIANI DDS P.C.
Entity Type:Organization
Organization Name:NINA KIANI DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KIANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-889-6020
Mailing Address - Street 1:343 EAST 30TH STREET
Mailing Address - Street 2:STE 16M
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6441
Mailing Address - Country:US
Mailing Address - Phone:212-889-6020
Mailing Address - Fax:
Practice Address - Street 1:225 WEST 34TH STREET
Practice Address - Street 2:14 PENN PLAZA
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10122-1314
Practice Address - Country:US
Practice Address - Phone:212-279-8770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY43975122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty