Provider Demographics
NPI:1891136503
Name:HAREL, AMY YONINA (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:YONINA
Last Name:HAREL
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 SUMMER ST APT A201
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4557
Mailing Address - Country:US
Mailing Address - Phone:917-774-1855
Mailing Address - Fax:
Practice Address - Street 1:4 SUMMER ST APT A201
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4557
Practice Address - Country:US
Practice Address - Phone:917-774-1855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-10
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT114271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics