Provider Demographics
NPI:1710057633
Name:ASMARANDEI, IOHANA A (DDS)
Entity Type:Individual
Prefix:DR
First Name:IOHANA
Middle Name:A
Last Name:ASMARANDEI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199-34 KENO AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1434
Mailing Address - Country:US
Mailing Address - Phone:718-468-3047
Mailing Address - Fax:
Practice Address - Street 1:137-50 JAMAICA AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11435-3610
Practice Address - Country:US
Practice Address - Phone:718-298-5100
Practice Address - Fax:718-298-5130
Is Sole Proprietor?:No
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050842-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist