Individual
LYUBOV MASHKABOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6200 BEACH CHANNEL DR, ARVERNE, NY 11692-1409
(718) 945-7150
(718) 945-2596
Mailing address
16611 81ST AVE, JAMAICA, NY 11432-1203
(718) 945-7150
(718) 945-2596
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0497001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02226488
—
NY
Enumeration date
07/14/2005
Last updated
02/14/2013
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