Healthcare Provider Details

I. General information

NPI: 1700705423
Provider Name (Legal Business Name): ELIZA HAIMI, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 E SHORE RD STE 111
GREAT NECK NY
11023-2433
US

IV. Provider business mailing address

233 E SHORE RD STE 111
GREAT NECK NY
11023-2433
US

V. Phone/Fax

Practice location:
  • Phone: 516-570-0260
  • Fax:
Mailing address:
  • Phone: 516-466-4464
  • Fax: 516-570-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZA HAIMI
Title or Position: DENTIST
Credential: DDS, D.ABDSM
Phone: 516-466-4464