Provider Demographics
NPI:1942876230
Name:RABIA YILAN DDS P.C.
Entity Type:Organization
Organization Name:RABIA YILAN DDS P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RABIA
Authorized Official - Middle Name:O
Authorized Official - Last Name:YILAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:631-569-6707
Mailing Address - Street 1:22 LAVENDER LN
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-2559
Mailing Address - Country:US
Mailing Address - Phone:631-569-6707
Mailing Address - Fax:631-822-0026
Practice Address - Street 1:380 N BROADWAY STE 301
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:NY
Practice Address - Zip Code:11753-2109
Practice Address - Country:US
Practice Address - Phone:631-822-5757
Practice Address - Fax:631-822-0026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental