Provider Demographics
NPI:1679853840
Name:FURMAN, YISKA DANZIGER (DMD)
Entity Type:Individual
Prefix:DR
First Name:YISKA
Middle Name:DANZIGER
Last Name:FURMAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1110 PROMENADE BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2770
Mailing Address - Country:US
Mailing Address - Phone:201-797-0015
Mailing Address - Fax:
Practice Address - Street 1:1110 PROMENADE BLVD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2770
Practice Address - Country:US
Practice Address - Phone:201-797-0015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0556851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice