Provider Demographics
NPI:1316492838
Name:ABU-ZAHRA, RAYA (DDS)
Entity type:Individual
Prefix:DR
First Name:RAYA
Middle Name:
Last Name:ABU-ZAHRA
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 1:450 EAST 63RD ST
Mailing Address - Street 2:APT 9I
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065
Mailing Address - Country:US
Mailing Address - Phone:248-622-3114
Mailing Address - Fax:
Practice Address - Street 1:450 EAST 63RD ST
Practice Address - Street 2:APT 9I
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065
Practice Address - Country:US
Practice Address - Phone:248-622-3114
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0585611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry