Provider Demographics
NPI:1538561337
Name:ASERIEL, HAIM NATANAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:HAIM
Middle Name:NATANAEL
Last Name:ASERIEL
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 1:36 LAUREL HILL TER APT 4G
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1617
Mailing Address - Country:US
Mailing Address - Phone:718-510-7870
Mailing Address - Fax:
Practice Address - Street 1:36 LAUREL HILL TER APT 4G
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10033-1617
Practice Address - Country:US
Practice Address - Phone:718-510-7870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-23
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 20838122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist