Individual
MRS. ELLEN ZBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
350 5TH AVE, SUITE 2618, NEW YORK, NY 10118-0110
(212) 868-2507
(212) 868-2510
Mailing address
350 5TH AVE, SUITE 2618, NEW YORK, NY 10118-0110
(212) 868-2507
(212) 868-2510
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
046141
NY
1223E0200X
Endodontics
046141
NY
1223G0001X
General Practice Dentistry
Primary
046141
NY
1223P0221X
Pediatric Dentistry
046141
NY
1223P0300X
Periodontics
046141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046141
DDS NEW YORK STATE LIC #
NY
Enumeration date
06/13/2012
Last updated
06/13/2012
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