Provider Demographics
NPI:1760872303
Name:HOWARD, HALEY FARRAH (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALEY
Middle Name:FARRAH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HALEY
Other - Middle Name:FARRAH
Other - Last Name:ZAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:97 OLD BROOK RD
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-6461
Mailing Address - Country:US
Mailing Address - Phone:631-877-6070
Mailing Address - Fax:
Practice Address - Street 1:97 OLD BROOK RD
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-6461
Practice Address - Country:US
Practice Address - Phone:631-877-6070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-04
Last Update Date:2022-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE606774191223G0001X
NYDENTISTRY390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program