Individual
YURIY SLEPAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8782 20TH AVE, BROOKLYN, NY 11214-4804
(718) 266-3506
Mailing address
8782 20TH AVE, BROOKLYN, NY 11214-4804
(718) 266-3506
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
047701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02071429
—
NY
Enumeration date
01/04/2007
Last updated
02/20/2016
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