Provider Demographics
NPI:1336370337
Name:AMANAT, SABIYA MIR (DDS)
Entity Type:Individual
Prefix:DR
First Name:SABIYA
Middle Name:MIR
Last Name:AMANAT
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 1:459 COLUMBUS AVE
Mailing Address - Street 2:SUITE #187
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-5129
Mailing Address - Country:US
Mailing Address - Phone:917-796-3433
Mailing Address - Fax:
Practice Address - Street 1:459 COLUMBUS AVE
Practice Address - Street 2:SUITE #187
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-5129
Practice Address - Country:US
Practice Address - Phone:917-796-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047083-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry