Individual
EBBIE BOUTEHSAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3310 BAINBRIDGE AVE, BRONX, NY 10467
(718) 654-3456
Mailing address
3310 BAINBRIDGE AVE, BRONX, NY 10467-2856
(718) 654-3456
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
058225-1
NY
Other
Enumeration date
11/19/2014
Last updated
11/14/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us