Individual
DR. BRIAN ANTHONY SIROTNIKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2415 AVENUE U, BROOKLYN, NY 11229-4982
(718) 416-6444
Mailing address
2249 OCEAN AVE APT 4C, BROOKLYN, NY 11229-2305
(917) 626-5607
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
062489
NY
Other
Enumeration date
04/06/2021
Last updated
07/25/2022
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