Provider Demographics
NPI:1316175813
Name:RAJANI, AMIT S (DMD)
Entity type:Individual
Prefix:DR
First Name:AMIT
Middle Name:S
Last Name:RAJANI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 YONKERS AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2630
Mailing Address - Country:US
Mailing Address - Phone:914-423-1900
Mailing Address - Fax:914-423-2800
Practice Address - Street 1:637 YONKERS AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2630
Practice Address - Country:US
Practice Address - Phone:914-423-1900
Practice Address - Fax:914-423-2800
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055126122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03271001Medicaid