Provider Demographics
NPI:1417321233
Name:DAHAN, ORLY ARIELLE (PHARMD)
Entity Type:Individual
Prefix:MRS
First Name:ORLY
Middle Name:ARIELLE
Last Name:DAHAN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 E 72ND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5816
Mailing Address - Country:US
Mailing Address - Phone:347-424-0394
Mailing Address - Fax:
Practice Address - Street 1:1737 E 174TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10472-1801
Practice Address - Country:US
Practice Address - Phone:718-684-2318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY061139183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist