Nour Chahwan, DMD
Individual provider Active NPI Dentist · Stony Point, NY
NPI 1659626463 · NPPES record last updated Oct 31, 2013
Key facts
- NPI
- 1659626463
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 056978 (NY)
- Practice address
- 17 Liberty Square Mall
Stony Point, NY 10980-2400 - Phone
- (845) 429-1293
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056978 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Dental Office PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 056978 | NY | Yes |
Addresses
Primary practice location
17 Liberty Square Mall
Stony Point, NY 10980-2400
Mailing address
17 Liberty Square Mall
Stony Point, NY 10980-2400
Phone (845) 429-1293
Other providers in Stony Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.