Organization
GENNADIY KRAVETS DMD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENNADIY KRAVETS DMD (DMD DENTIST)
(718) 388-4613
Entity
Organization
Contact information
Practice address
202 UNION AVE, SUITE D, BROOKLYN, NY 11211-7467
(718) 388-4613
(718) 388-4613
Mailing address
202 UNION AVE, SUITE D, BROOKLYN, NY 11211-7467
(718) 388-4613
(718) 388-4613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0525941
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02721328
—
NY
Enumeration date
02/01/2007
Last updated
08/22/2020
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