Individual
ELISHA TAAVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4422 3RD AVE, BRONX, NY 10457-2545
(718) 960-9000
Mailing address
1024 E 28TH ST, BROOKLYN, NY 11210-3742
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
059899-01
NY
Other
Enumeration date
04/20/2017
Last updated
11/30/2023
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