Provider Demographics
NPI:1699417287
Name:FARSHID, ANISEH (DDS)
Entity type:Individual
Prefix:DR
First Name:ANISEH
Middle Name:
Last Name:FARSHID
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANISEH
Other - Middle Name:
Other - Last Name:FARSHID
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ANISEH FARSHID, DDS
Mailing Address - Street 1:23 PERRY ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10014-2703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23 PERRY ST # 3F
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2703
Practice Address - Country:US
Practice Address - Phone:212-431-9678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY40436771223E0200X
NY40436751223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
41396878OtherENDODONTIST