Provider Demographics
NPI:1871807107
Name:SABAH, NOOR US (DDS)
Entity type:Individual
Prefix:DR
First Name:NOOR US
Middle Name:
Last Name:SABAH
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 1:516 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2929
Mailing Address - Country:US
Mailing Address - Phone:516-858-1185
Mailing Address - Fax:
Practice Address - Street 1:3202 53RD PL
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-1926
Practice Address - Country:US
Practice Address - Phone:718-956-7306
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY055635122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist