Individual
AHMED EL-HALABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Contact information
Practice address
1484 STATE ROUTE 332 STE 6, FARMINGTON, NY 14425-9161
(585) 389-2233
Mailing address
2060 FAIRPORT NINE MILE POINT RD, PENFIELD, NY 14526-1749
(585) 377-5810
(585) 377-1121
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
057745
NY
1223P0300X
Periodontics
Primary
057745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04351777
—
NY
Enumeration date
07/10/2009
Last updated
03/22/2021
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