Provider Demographics
NPI:1093177867
Name:RHONDA HAKIMI, DDS PC
Entity Type:Organization
Organization Name:RHONDA HAKIMI, DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAKIMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-353-5233
Mailing Address - Street 1:425 MADISON AVE RM 201
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-1120
Mailing Address - Country:US
Mailing Address - Phone:212-752-1919
Mailing Address - Fax:212-752-4533
Practice Address - Street 1:425 MADISON AVE RM 201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1120
Practice Address - Country:US
Practice Address - Phone:212-752-1919
Practice Address - Fax:212-752-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-22
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY048051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty