Individual
LEONID NASHTATIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 W 181ST ST, NEW YORK, NY 10033
(212) 795-1040
Mailing address
719 W 181ST ST, NEW YORK, NY 10033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
058315-1
NY
Other
Enumeration date
04/19/2013
Last updated
11/02/2016
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