Darel Bouhadana, D.M.D
Student in an Organized Health Care Education/Training Program in Brooklyn, NY. Individual provider (NPI-1).
NPI number1801413752
StatusActive
Last updated in NPPESJul 1, 2020
Details
- NPI
- 1801413752
- Entity type
- Individual (NPI-1)
- Name
- Ms. Darel Bouhadana
- Credential
- D.M.D
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2020
- Certification date
- Jul 1, 2020
- Last updated
- Jul 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
585 Schenectady AveBrooklyn, NY 11203
Phone 718-604-5000
Mailing address
395 South End AvenueNew York, NY 10280
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