Individual
AVGUSTA BURSHTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
344 3RD AVE, NEW YORK, NY 10010-2331
(212) 889-0999
Mailing address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-5784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
064126
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/06/2023
Last updated
09/06/2024
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