Mitra Adams, DDS
Individual provider Active NPI General Practice Dentistry · Monsey, NY
NPI 1679610216 · NPPES record last updated Oct 26, 2015
Key facts
- NPI
- 1679610216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 052185 (NY)
- Practice address
- 162 Route 59
Monsey, NY 10952 - Phone
- (845) 352-9200
- Fax
- (845) 352-9399
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052185 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sohayla S. Zivari | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 052185 | NY | Yes |
Addresses
Primary practice location
162 Route 59
Monsey, NY 10952
Mailing address
162 Route 59
Monsey, NY 10952
Phone (845) 352-9200
Other providers in Monsey, NY
- Leba Leah Abramson
- Hadassa Abramzon
- Achieve Medical Service P C
- Achieve Medical Services PC
- Lee Adams
- Robyn Adams
- Eve Adler
- Michael S Adler
- Nechama Adler
- Nechama Adler
All providers in Monsey, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.