Provider Demographics
NPI:1154293207
Name:LENOX HILL PROSTHODONTICS
Entity type:Organization
Organization Name:LENOX HILL PROSTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:FARHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MIR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-970-5355
Mailing Address - Street 1:901 LEXINGTON AVE APT 1S
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5996
Mailing Address - Country:US
Mailing Address - Phone:212-794-1100
Mailing Address - Fax:212-288-9453
Practice Address - Street 1:901 LEXINGTON AVE APT 1S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5996
Practice Address - Country:US
Practice Address - Phone:211-794-1100
Practice Address - Fax:212-288-9453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty