Provider Demographics
NPI:1932418175
Name:HASHIM, ELIAS (DDS)
Entity Type:Individual
Prefix:
First Name:ELIAS
Middle Name:
Last Name:HASHIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FERRIS LN
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5119
Mailing Address - Country:US
Mailing Address - Phone:845-471-5400
Mailing Address - Fax:845-473-5805
Practice Address - Street 1:7 FERRIS LN
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5119
Practice Address - Country:US
Practice Address - Phone:845-471-5400
Practice Address - Fax:845-473-5805
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03914211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice