Organization
BIG APPLE DENTAL PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONID REZNIK DDS (OWNER/DENTIST)
(516) 343-2772
Entity
Organization
Contact information
Practice address
2220 65TH ST, BROOKLYN, NY 11204-4035
(516) 343-2772
Mailing address
1311 BELLMORE RD, NORTH BELLMORE, NY 11710-3747
(516) 343-2772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
049260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02156141
—
NY
Enumeration date
11/18/2010
Last updated
11/18/2010
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