Individual
ALINA DRAGANCHYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1985 OCEAN AVE, BROOKLYN, NY 11230-6834
(718) 376-4200
Mailing address
5008 7TH AVE, BROOKLYN, NY 11220-2167
(646) 812-6868
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061384-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
12/02/2020
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