Individual
NEELA FATAPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
40 W 117TH ST, NEW YORK, NY 10026-1921
(347) 315-3633
Mailing address
40 WATERSIDE PLZ APT 7H, NEW YORK, NY 10010-2640
(408) 666-0064
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
065082
NY
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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