Organization
AVDEYCHIK CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TATYANA AVDEYCHIK DDS (DENTIST)
(718) 646-0900
Entity
Organization
Contact information
Practice address
1810 JEROME AVE., 1ST. FLOOR, BROOKLYN, NY 11235
(718) 646-0900
(718) 769-9723
Mailing address
1810 JEROME AVE., 1ST. FLOOR, BROOKLYN, NY 11235
(718) 646-0900
(718) 769-9723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
044215
NY
1223G0001X
General Practice Dentistry
044239
NY
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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