Provider Demographics
NPI:1174738009
Name:EL CHAAR, EDGARD S (DDS)
Entity type:Individual
Prefix:DR
First Name:EDGARD
Middle Name:S
Last Name:EL CHAAR
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 1:130 E 35TH ST # 1A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-3815
Mailing Address - Country:US
Mailing Address - Phone:212-685-5133
Mailing Address - Fax:212-685-5134
Practice Address - Street 1:67 PARK AVE
Practice Address - Street 2:1A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2557
Practice Address - Country:US
Practice Address - Phone:212-685-5133
Practice Address - Fax:212-685-5134
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS031586L122300000X
NY0482781223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics
No122300000XDental ProvidersDentist