Individual
DR. DANIELLE BOKHOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CRICKETT LN, GREAT NECK, NY 11024-1003
(516) 721-1516
Mailing address
22 CRICKETT LN, GREAT NECK, NY 11024-1003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058398
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058398
LICENSE
NY
Enumeration date
05/01/2014
Last updated
02/15/2017
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