Provider Demographics
NPI:1982771093
Name:HIJAZIN, DANIELA L (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:L
Last Name:HIJAZIN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 E BOSTON POST RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3708
Mailing Address - Country:US
Mailing Address - Phone:914-732-3377
Mailing Address - Fax:914-732-3367
Practice Address - Street 1:444 E BOSTON POST RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3708
Practice Address - Country:US
Practice Address - Phone:914-732-3377
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0491401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice