Individual
ELANA NOGID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
234 HEWES ST, BROOKLYN, NY 11211-8141
(718) 782-9425
Mailing address
2615 AVENUE L, BROOKLYN, NY 11210-4632
(718) 252-1174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049873
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02361571
—
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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