Provider Demographics
NPI:1992991244
Name:DABAA, YEHIA (DC)
Entity type:Individual
Prefix:DR
First Name:YEHIA
Middle Name:
Last Name:DABAA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 E 14TH ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-2700
Mailing Address - Country:US
Mailing Address - Phone:212-533-4900
Mailing Address - Fax:
Practice Address - Street 1:409 E 14TH ST
Practice Address - Street 2:SUITE C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-2700
Practice Address - Country:US
Practice Address - Phone:212-533-4900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-20
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011444-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor