Provider Demographics
NPI:1043471840
Name:SIMKHA, YELENA (DDS)
Entity Type:Individual
Prefix:
First Name:YELENA
Middle Name:
Last Name:SIMKHA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YELENA
Other - Middle Name:
Other - Last Name:SIMKHA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:12 E 41ST ST
Mailing Address - Street 2:SUITE 1002
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6221
Mailing Address - Country:US
Mailing Address - Phone:212-683-4330
Mailing Address - Fax:212-683-2577
Practice Address - Street 1:12 E 41ST ST
Practice Address - Street 2:SUITE 1002
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6221
Practice Address - Country:US
Practice Address - Phone:212-683-4330
Practice Address - Fax:212-683-2577
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0461851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice