Provider Demographics
NPI:1184839532
Name:KABINOFF, HOWARD L (DDS)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:L
Last Name:KABINOFF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-3512
Mailing Address - Country:US
Mailing Address - Phone:518-438-7483
Mailing Address - Fax:518-458-6140
Practice Address - Street 1:1465 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12203-3512
Practice Address - Country:US
Practice Address - Phone:518-438-7483
Practice Address - Fax:518-458-6140
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236161223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics