Individual
ELLIOT SABBAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3749 82ND ST, 2ND FL, JACKSON HEIGHTS, NY 11372-7031
(718) 779-5178
(718) 779-8840
Mailing address
1927 HOMECREST AVE, BROOKLYN, NY 11229-2709
(646) 321-5001
(718) 336-1698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
045380
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01549128
—
NY
Enumeration date
11/21/2005
Last updated
05/03/2012
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