Provider Demographics
NPI:1144094731
Name:ZARABI, ELIOTT EYTAN (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIOTT
Middle Name:EYTAN
Last Name:ZARABI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:EYTAN
Other - Middle Name:ELIOTT
Other - Last Name:ZARABI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:165 STEAMBOAT RD
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11024-1739
Mailing Address - Country:US
Mailing Address - Phone:516-417-7507
Mailing Address - Fax:
Practice Address - Street 1:23 BOND ST
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-2019
Practice Address - Country:US
Practice Address - Phone:516-417-7507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0631211223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty