Individual
KIRILL NOVAKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
(718) 240-5000
Mailing address
1 BROOKDALE PLZ, BROOKLYN, NY 11212-3139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS044292
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2021
Last updated
03/06/2024
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