Individual
ATOUSSA HALARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 LENOX AVE, NEW YORK, NY 10037-1802
(212) 939-1000
Mailing address
13708 WAGON WAY, SILVER SPRING, MD 20906-2144
(240) 449-5281
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060367
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2017
Last updated
02/16/2024
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