Organization
GREGORY OSYELKIN DDS & YANA COREN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YANA COREN DDS (OWNER)
(212) 781-0166
Entity
Organization
Contact information
Practice address
4290 BROADWAY, NEW YORK, NY 10033-3732
(212) 781-0166
Mailing address
4290 BROADWAY, NEW YORK, NY 10033-3732
(212) 781-0166
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
033389
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02412100
—
NY
Enumeration date
03/06/2007
Last updated
03/11/2008
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