Individual
DR. ELISHA HADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
955 E 26TH ST, BROOKLYN, NY 11210-3725
(917) 349-6936
Mailing address
955 E 26TH ST, BROOKLYN, NY 11210-3725
(917) 349-6936
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
063335
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/08/2022
Last updated
08/18/2023
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