Individual provider · NPI-1

Yara Abdelnabi

Dentist, General Practice · Stony Brook, NY

NPI number1013501139
StatusActive
Last updated in NPPESMar 1, 2021

Details

NPI
1013501139
Entity type
Individual (NPI-1)
Name
Yara Abdelnabi
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 1, 2021
Certification date
Mar 1, 2021
Last updated
Mar 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0000000000000MAYes

Practice location

151 Westchester Hall
Stony Brook, NY 11794-0001

Phone 631-444-2557

Mailing address

566 Commonwealth Ave
Boston, MA 02215-2520

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