Provider Demographics
NPI:1801954052
Name:ABOLAFIA, ALLAN IRA (DDS)
Entity type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:IRA
Last Name:ABOLAFIA
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 1:1 STONEHEDGE CT
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12603-6520
Mailing Address - Country:US
Mailing Address - Phone:845-471-4222
Mailing Address - Fax:
Practice Address - Street 1:1733 ROUTE 9W
Practice Address - Street 2:
Practice Address - City:LAKE KATRINE
Practice Address - State:NY
Practice Address - Zip Code:12449-5426
Practice Address - Country:US
Practice Address - Phone:845-336-5252
Practice Address - Fax:845-336-6798
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0339221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice