Sabbagh, Elliot

Sabbagh, Elliot is an individual health care provider with primary practice located at 3749 82Nd St 2Nd Fl, Jackson Heights NY 11372-7031. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Sabbagh, Elliot can be contacted via phone (718) 779-5178.

Contact Information

Primary practice address
3749 82Nd St 2Nd Fl Jackson Heights NY 11372-7031
Fax: (718) 779-8840
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 045380 New York

Profile Details

NPI number 1255314639
LBN Legal business name Sabbagh, Elliot
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated May 3rd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255314639 NPPES
New York MEDICAID 01549128

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