Provider Demographics
NPI:1831463363
Name:MUNZER B. KARA, DDS, PLLC
Entity Type:Organization
Organization Name:MUNZER B. KARA, DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MUNZER
Authorized Official - Middle Name:BASHEER
Authorized Official - Last Name:KARA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-525-3454
Mailing Address - Street 1:49 SAMMIS LN
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-4724
Mailing Address - Country:US
Mailing Address - Phone:347-525-3454
Mailing Address - Fax:631-756-5651
Practice Address - Street 1:1111 BROADHOLLOW RD
Practice Address - Street 2:104
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-4820
Practice Address - Country:US
Practice Address - Phone:631-756-5656
Practice Address - Fax:631-756-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY041314-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02259805Medicaid