Individual
SVETLANA MUSHEYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7017 AUSTIN ST, FOREST HILLS, NY 11375-4875
(718) 261-4000
Mailing address
9033 160TH ST, JAMAICA, NY 11432-6125
(718) 657-0800
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
058232
NY
Other
Enumeration date
01/09/2014
Last updated
10/13/2016
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