Provider Demographics
NPI:1710130885
Name:PIELET, NEHAMA SARA (NEHAMA PIELET, DDS)
Entity Type:Individual
Prefix:DR
First Name:NEHAMA
Middle Name:SARA
Last Name:PIELET
Suffix:
Gender:F
Credentials:NEHAMA PIELET, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 E 75TH ST APT 22P
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-3378
Mailing Address - Country:US
Mailing Address - Phone:646-468-6575
Mailing Address - Fax:646-351-6551
Practice Address - Street 1:300 E 75TH ST APT 22P
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-3378
Practice Address - Country:US
Practice Address - Phone:646-468-6575
Practice Address - Fax:646-351-6551
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053169-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice