Provider Demographics
NPI:1851667414
Name:BEHEIRY, AHMED S (DDS)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:S
Last Name:BEHEIRY
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 1:240 WEST 116TH STREET
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026
Mailing Address - Country:US
Mailing Address - Phone:646-666-0757
Mailing Address - Fax:646-666-0916
Practice Address - Street 1:240 W 116TH ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-2431
Practice Address - Country:US
Practice Address - Phone:646-666-0757
Practice Address - Fax:646-666-0916
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2015-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D102514800122300000X
NY056883122300000X
AL6053C1122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist