Individual
DR. ALAN PERNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1174 E 24TH ST, BROOKLYN, NY 11210
(718) 986-7302
Mailing address
1174 E 24TH ST, BROOKLYN, NY 11210-4507
(718) 986-7302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
058230
NY
1223P0300X
Periodontics
Primary
058230
NY
Other
Enumeration date
04/24/2014
Last updated
07/03/2018
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