Individual
DR. GENRICH SHVARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2071 2ND AVE, NEW YORK, NY 10029-4101
(212) 410-6969
Mailing address
1270 E 19TH ST, APT. 2A, BROOKLYN, NY 11230-5457
(917) 291-0416
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047392
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01783706
—
NY
01
—
DORAL12105
12105
NY
Enumeration date
08/11/2006
Last updated
07/08/2007
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