Organization
ALEXANDER AYZENBERG DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER AYZENBERG (PRESIDENT)
(718) 368-3750
Entity
Organization
Contact information
Practice address
134 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5327
(718) 368-3750
(718) 368-3751
Mailing address
134 BRIGHTON 11TH ST, BROOKLYN, NY 11235-5327
(718) 368-3750
(718) 368-3751
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043869
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01284344
—
NY
Enumeration date
08/31/2007
Last updated
08/31/2007
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