Provider Demographics
NPI:1912248469
Name:ROBB, FADWA (DDS)
Entity Type:Individual
Prefix:DR
First Name:FADWA
Middle Name:
Last Name:ROBB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:FADWA
Other - Middle Name:
Other - Last Name:ROBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:20 E 68TH ST
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-5844
Mailing Address - Country:US
Mailing Address - Phone:212-744-1333
Mailing Address - Fax:212-734-8179
Practice Address - Street 1:20 E 68TH ST
Practice Address - Street 2:SUITE 208
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-5844
Practice Address - Country:US
Practice Address - Phone:212-744-1333
Practice Address - Fax:212-734-8179
Is Sole Proprietor?:No
Enumeration Date:2013-03-08
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050653-1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist