Provider Demographics
NPI:1689873614
Name:SINHA, ABHINAV NATH (DMD)
Entity Type:Individual
Prefix:
First Name:ABHINAV
Middle Name:NATH
Last Name:SINHA
Suffix:
Gender:M
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:PO BOX 70212
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10307-0212
Mailing Address - Country:US
Mailing Address - Phone:718-967-2412
Mailing Address - Fax:718-554-4515
Practice Address - Street 1:6795 HYLAN BLVD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10309-3819
Practice Address - Country:US
Practice Address - Phone:718-967-2412
Practice Address - Fax:718-554-4515
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-11
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0535601223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry