Individual
GENNADIY KRAVETS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
202 UNION AVE, SUITE D, BROOKLYN, NY 11211-7467
(718) 388-4613
(718) 388-4613
Mailing address
202 UNION AVE, SUITE D, BROOKLYN, NY 11211-7467
(718) 388-4613
(718) 388-4613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052594-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02721328
—
NY
Enumeration date
03/25/2008
Last updated
03/25/2008
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