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Individual

DR. IGOR ELIAV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
203 NASSAU AVE, BROOKLYN, NY 11222
(718) 383-1270
(718) 383-1271
Mailing address
203 NASSAU AVE, BROOKLYN, NY 11222
(718) 383-1270
(718) 383-1271

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046661
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01671741
NY
Enumeration date
02/21/2008
Last updated
02/28/2013
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