Active NPI
Doina G Agbary, DDS
- Dentist
- Hollis, NY
National Provider Identifier
1295826246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 053075
- Practice address
- 20118 Hillside Ave
Hollis, NY 11423-2135 - Phone
- (718) 454-2442
- Fax
- (718) 454-2416
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 053075 | NY | MD | Dentist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 053075 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
20118 Hillside Ave
Hollis, NY 11423-2135
Mailing address
20118 Hillside Ave
Hollis, NY 11423-2135
Phone (718) 454-2442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295826246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20118 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232135",
"telephone_number": "718-454-2442",
"fax_number": "718-454-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20118 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232135",
"telephone_number": "718-454-2442",
"fax_number": "718-454-2416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGBARY",
"first_name": "DOINA",
"middle_name": "G",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "053075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.