Touba Abdyan
Individual provider Active NPI General Practice Dentistry · Fresh Meadows, NY
NPI 1811388366 · NPPES record last updated Oct 30, 2017
Key facts
- NPI
- 1811388366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 059014 (NY)
- Practice address
- 18801 Union Tpke
Fresh Meadows, NY 11366-1736 - Phone
- (718) 454-4444
- NPI assigned
- Feb 5, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 059014 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robin Hur DDS PLLC | Past | Accepting new patients | |
| Dental Excellence of Ny | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 059014 | NY | Yes |
Addresses
Primary practice location
18801 Union Tpke
Fresh Meadows, NY 11366-1736
Mailing address
18801 Union Tpke
Fresh Meadows, NY 11366-1736
Phone (718) 454-4444
Other providers in Fresh Meadows, NY
- Julie Hilary Abada
- Evilina Abayeva
- Siham Basem Abdelqader
- Fazeeda Abdur-Rahman
- Bete Abdurahmanov
- Salma Abouhasswa
- Abramov Services in Adult Health NP P.C.
- Avital Abramov
- Tamar D Abramov
- Rachelle Abramovitz
All providers in Fresh Meadows, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2017. 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.