Healthcare Provider Details

I. General information

NPI: 1750091260
Provider Name (Legal Business Name): SAAHIL BRAHMBHATT DDS, MS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 W 13TH ST
NEW YORK NY
10011-7969
US

IV. Provider business mailing address

446 HUNGRY HARBOR RD
VALLEY STREAM NY
11581-3645
US

V. Phone/Fax

Practice location:
  • Phone: 646-590-7924
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number063218
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number22DI02874200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: