Individual
ARVIN ELYASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
65 WARWICK RD, GREAT NECK, NY 11023-1667
(516) 660-6343
Mailing address
65 WARWICK RD, GREAT NECK, NY 11023-1667
(516) 660-6343
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058019
NY
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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