Provider Demographics
NPI:1518764018
Name:NASIM TISHBI DMD PC
Entity type:Organization
Organization Name:NASIM TISHBI DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NASIM
Authorized Official - Middle Name:
Authorized Official - Last Name:TISHBI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-290-5668
Mailing Address - Street 1:100 MANETTO HILL RD STE 206
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1311
Mailing Address - Country:US
Mailing Address - Phone:718-290-5668
Mailing Address - Fax:
Practice Address - Street 1:100 MANETTO HILL RD STE 206
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1311
Practice Address - Country:US
Practice Address - Phone:718-490-8050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty