Provider Demographics
NPI:1821356155
Name:GOODARZI, PARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PARIA
Middle Name:
Last Name:GOODARZI
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 1:515 MADISON AVE SUITE 1710
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:212-203-6538
Mailing Address - Fax:
Practice Address - Street 1:515 MADISON AVE SUITE 1710
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:212-644-2822
Practice Address - Fax:646-219-8700
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program