Provider Demographics
NPI:1215574140
Name:RAJANI, JUNAID (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:JUNAID
Middle Name:
Last Name:RAJANI
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BROADWAY STE B
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2762
Mailing Address - Country:US
Mailing Address - Phone:631-598-2368
Mailing Address - Fax:
Practice Address - Street 1:120 BROADWAY STE B
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2762
Practice Address - Country:US
Practice Address - Phone:631-598-2368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-10
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY063403122300000X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist