Provider Demographics
NPI:1912390899
Name:INNABI, YANELL (DMD)
Entity Type:Individual
Prefix:DR
First Name:YANELL
Middle Name:
Last Name:INNABI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:YANELL
Other - Middle Name:
Other - Last Name:DANIAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:357 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-2604
Mailing Address - Country:US
Mailing Address - Phone:914-693-2000
Mailing Address - Fax:914-693-2922
Practice Address - Street 1:357 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2604
Practice Address - Country:US
Practice Address - Phone:914-693-2000
Practice Address - Fax:914-693-2922
Is Sole Proprietor?:No
Enumeration Date:2015-03-16
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0587081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice