| NPI | 1164705943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA TURANSKIY Office Manager 718-822-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048889) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 054307) |
| 1223G0001X Dentist, General Practice (Licence: NY 054485) | |
| 1223G0001X Dentist, General Practice (Licence: NY 051675) | |
| 1223G0001X Dentist, General Practice (Licence: NY 052094) | |
| 1223G0001X Dentist, General Practice (Licence: NY 055646) | |
| 1223G0001X Dentist, General Practice (Licence: NY 055500) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: NY 049105) | |
| 1223P0300X Dentist, Periodontics (Licence: NY 055514) | |
| 1223P0300X Dentist, Periodontics (Licence: NY 051193) | |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2011-09-28 |