Provider Demographics
NPI:1063424489
Name:PINCHAS, EDUARD MICHAEL (DDS)
Entity type:Individual
Prefix:MR
First Name:EDUARD
Middle Name:MICHAEL
Last Name:PINCHAS
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 1:8811 63 DRIVE
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:718-779-2242
Mailing Address - Fax:718-779-2253
Practice Address - Street 1:8811 63 DRIVE
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-779-2242
Practice Address - Fax:718-779-2253
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050336122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist