Individual
DR. MAXIM ALEXANDER PODOLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2272 HENDRICKSON ST, BROOKLYN, NY 11234-5131
(718) 253-3333
Mailing address
9801 67TH AVE, #14V, REGO PARK, NY 11374-4967
(917) 204-5189
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
051773
NY
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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