Provider Demographics
NPI:1992185508
Name:MARYAM HASHEMI, D.D.S., P.C.
Entity Type:Organization
Organization Name:MARYAM HASHEMI, D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARYAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHEMI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-949-4949
Mailing Address - Street 1:280 N CENTRAL AVE
Mailing Address - Street 2:SUITE 460
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1832
Mailing Address - Country:US
Mailing Address - Phone:914-949-4949
Mailing Address - Fax:914-949-8727
Practice Address - Street 1:280 N CENTRAL AVE
Practice Address - Street 2:SUITE 460
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1832
Practice Address - Country:US
Practice Address - Phone:914-949-4949
Practice Address - Fax:914-949-8727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-09
Last Update Date:2015-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039259-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty