Provider Demographics
NPI:1013907930
Name:ALDOORI, MAHA YOUNIS (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAHA
Middle Name:YOUNIS
Last Name:ALDOORI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 KING ST
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2700
Mailing Address - Country:US
Mailing Address - Phone:718-833-7466
Mailing Address - Fax:718-745-7442
Practice Address - Street 1:670 92ND ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3632
Practice Address - Country:US
Practice Address - Phone:718-833-7466
Practice Address - Fax:718-745-7442
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0507611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02490908Medicaid