Individual
EUGENE KHAYTSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
374 STOCKHOLM ST, BROOKLYN, NY 11237-4006
(718) 963-6485
(718) 963-6793
Mailing address
2259 82ND ST, BROOKLYN, NY 11214-2603
(914) 654-6543
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052290
NY
Other
Enumeration date
10/23/2007
Last updated
04/15/2009
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