Most Relevant Information
Provider Data
| NPI Number: | 1003210170 |
| Provider Name: | LEYLA DAHBALI PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 0176981 |
Most Important Dates
| Enumeration Date: | 10/17/2014 |
| Last Updated: | 10/17/2014 |
Provider Practice Location
2601 OCEAN PKWY
8TH FLOOR ROOM 8N53
BROOKLYN
NY
112357745
Practice Location Phone/Fax
| Phone: | 7186163260 |
| Fax: |
Provider Mailing Location
224 HAWTHORNE AVE
STATEN ISLAND
NY
103141861
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |