Organization
BARRY ELAAHI, DDS, PC
Active
Organization
BARRY ELAAHI, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAHRAM ELAAHI DDS (OWNER)
(845) 641-7028
Entity
Organization
Contact information
Practice address
200 E ECKERSON RD, SUITE 240, NEW CITY, NY 10956-7153
(845) 352-0520
Mailing address
200 E ECKERSON RD, SUITE 240, NEW CITY, NY 10956-7153
(845) 352-0520
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
056515-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03830628
—
NY
Enumeration date
07/27/2016
Last updated
07/27/2016
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