Individual
IGOR NELIOUBINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2423 MERMAID AVE, BROOKLYN, NY 11224-2256
(718) 373-0300
(718) 373-0570
Mailing address
2423 MERMAID AVE, BROOKLYN, NY 11224-2256
(718) 373-0300
(718) 373-0570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
052854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02781322
—
NY
Enumeration date
05/17/2007
Last updated
07/08/2007
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