Organization
BAY PARKWAY ALL TYPES OF DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER V ANDREYEFF (PRESIDENT)
(718) 236-4422
Entity
Organization
Contact information
Practice address
2211 A 65 STREET, BROOKLYN, NY 11204
(718) 236-4422
(718) 236-6730
Mailing address
2211 A 65 STREET, BROOKLYN, NY 11204
(718) 236-4422
(718) 236-6730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
045032
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01485794
—
NY
Enumeration date
04/24/2007
Last updated
08/22/2020
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