Elaine Sedhom, DMD
Student in an Organized Health Care Education/Training Program in New York, NY. Individual provider (NPI-1).
NPI number1699200501
StatusActive
Last updated in NPPESApr 28, 2017
Details
- NPI
- 1699200501
- Entity type
- Individual (NPI-1)
- Name
- Elaine Sedhom
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2017
- Last updated
- Apr 28, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
622 W 168th StVc-8th Floor,
New York, NY 10032-3720
Phone 212-305-6100
Mailing address
630 W 168th StP&S Box 20,
New York, NY 10032-3725
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