MEDICARE: DR. SOLAFA SEDKI FATOUH D.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	041310	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790831212
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SOLAFA SEDKI FATOUH D.D.S

Provider Business Mailing Address
First Line	:	1537 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-2908
Country	:	US
Telephone Number	:	718-617-0624
Fax Number	:	718-328-3887

Provider Business Practice Location Address
First Line	:	1537 WESTCHESTER AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10472-2908
Country	:	US
Telephone Number	:	718-617-0624
Fax Number	:	718-328-3887

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1720020506 — ELDER PHARMACY LLC
Practice Location Address:

1527 WESTCHESTER AVE
BRONX, NY
10472-2908

Practice Phone: 718-842-2777
Practice Fax: 718-842-0077

1134273782 — DR. SAMY FATOUH BDS.
Practice Location Address:

1537 WESTCHESTER AVE
BRONX, NY
10472-2908

Practice Phone: 718-617-0624
Practice Fax: 718-328-3887

1821130329 — YELENA SHABALA DDS
Practice Location Address:

1537 WESTCHESTER AVE
BRONX, NY
10472-2908

Practice Phone: 718-617-0624
Practice Fax:

1952573594 — BOYNTON DENTAL,PC
Practice Location Address:

1537 WESTCHESTER AVE
BRONX, NY
10472-2908

Practice Phone: 718-617-0624
Practice Fax: 718-328-3887

1295981157 — DR. KAREEM FATOUH D.D.S
Practice Location Address:

1537 WESTCHESTER AVE
BRONX, NY
10472-2908

Practice Phone: 718-617-0624
Practice Fax:

1396992020 — SANJIV SHETH RPH
Practice Location Address:

1528 WESTCHESTER AVE
BRONX, NY
10472-2908

Practice Phone: 718-842-2777
Practice Fax: 718-842-0077

Directions to “ DR. SOLAFA SEDKI FATOUH D.D.S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.