Provider Demographics
NPI:1700442431
Name:ADHAMI, YAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:YAEL
Middle Name:
Last Name:ADHAMI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:YAEL
Other - Middle Name:
Other - Last Name:RAHIMZADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2374B JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2374B JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4711
Practice Address - Country:US
Practice Address - Phone:516-588-6622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-17
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0613871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice