Organization
BARRY NOSKOW DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY NOSKOW D.D.S. (PRESIDENT)
(718) 435-3522
Entity
Organization
Contact information
Practice address
5824 14TH AVE, BROOKLYN, NY 11219-4623
(718) 438-8400
Mailing address
1303 53RD ST, # 139, BROOKLYN, NY 11219-3823
(718) 438-8400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
028971
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00304843
—
NY
01
—
6682510001
NSC PTAN
—
Enumeration date
12/16/2005
Last updated
07/24/2012
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