Active NPI
Abdallah Michail
- Orthodontics and Dentofacial Orthopedics Dentistry
- Poughkeepsie, NY
National Provider Identifier
1245931971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 064741
- Practice address
- 3 Hankin Loop
Poughkeepsie, NY 12601 - Phone
- (845) 240-4931
- NPI assigned
- Mar 10, 2023
- Reactivated
- Apr 12, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 064741 | NY | Primary |
Addresses
Primary practice location
3 Hankin Loop
Poughkeepsie, NY 12601
Mailing address
30 Pine LN Apt 209
Albany, NY 12203-4427
Phone (845) 240-4931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064741 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1245931971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PINE LN APT 209",
"city": "ALBANY",
"state": "NY",
"postal_code": "122034427",
"telephone_number": "845-240-4931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HANKIN LOOP",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "845-240-4931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAIL",
"first_name": "ABDALLAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-10",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"deactivation_date": "2023-03-10",
"reactivation_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "064741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.