Provider Demographics
NPI:1952058075
Name:HOURIZADEH, ARIA AVRAHAM (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARIA
Middle Name:AVRAHAM
Last Name:HOURIZADEH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 E 57TH ST APT 6M
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-3820
Mailing Address - Country:US
Mailing Address - Phone:516-382-6251
Mailing Address - Fax:
Practice Address - Street 1:400 E 57TH ST APT 6M
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3820
Practice Address - Country:US
Practice Address - Phone:516-382-6251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program