Provider Demographics
NPI:1609964477
Name:ALIKHANI, MANI (DMD)
Entity Type:Individual
Prefix:DR
First Name:MANI
Middle Name:
Last Name:ALIKHANI
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 1:122 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-6716
Mailing Address - Country:US
Mailing Address - Phone:718-852-4414
Mailing Address - Fax:718-852-4416
Practice Address - Street 1:122 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-6716
Practice Address - Country:US
Practice Address - Phone:718-852-4414
Practice Address - Fax:718-852-4416
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA215811223X0400X
NY0534631223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics